Organization
CRITICAL ACCESS HEALTH SERVICES CORP.
Active
Other names
Washington County Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH E. ROCHE (CHIEF EXECUTIVE OFFICER)
(812) 883-8550
Entity
Organization
Contact information
Practice address
911 N SHELBY ST, SALEM, IN 47167-2304
(812) 883-8550
Mailing address
911 N SHELBY ST, SALEM, IN 47167-2304
(812) 883-8550
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
Primary
—
IN
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200948660
—
IN
Enumeration date
05/27/2009
Last updated
10/02/2009
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