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Organization

JASPER COUNTY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY D WEBB C.P.A. (VICE PRESIDENT OF FINANCIAL SERVICE)
(219) 866-5141
Entity
Organization

Contact information

Practice address
1104 E GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3234
Mailing address
1104 E GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3234

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
05-005072-2
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000097884
BLUE CROSS ID NUMBER
IN
05
0175224
OH
05
0564195
IA
05
100269660A
IN
05
100269680A
IN
05
200301560E
IN
05
80536700
WI
05
909962000
FL
Enumeration date
02/20/2006
Last updated
04/20/2008
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