Organization
DEKALB MEMORIAL HOSPITAL, INC
Active
Other names
Parkview Dekalb Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LEE-HANSEN (CFO)
(312) 388-0125
Entity
Organization
Contact information
Practice address
1316 E 7TH ST, AUBURN, IN 46706-2523
(260) 925-4600
(260) 925-4733
Mailing address
10501 CORPORATE DR, FORT WAYNE, IN 46845-1700
(260) 437-7558
(260) 925-4733
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01039551A
IN
231H00000X
Audiologist
23002422A
IN
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
10-005041-1
IN
3336I0012X
Institutional Pharmacy
60000349A
IN
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097746
BLUE CROSS
IN
05
—
100269460A
—
IN
05
—
100287120A
—
IN
01
—
1562518
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/31/2005
Last updated
03/02/2026
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