Organization
DECATUR COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUCKEL (VP OF FINANCE)
(812) 663-4331
Entity
Organization
Contact information
Practice address
720 N. LINCOLN ST, GREENSBURG, IN 47240-1398
(812) 663-4331
(812) 663-1316
Mailing address
720 N. LINCOLN ST, GREENSBURG, IN 47240-1398
(812) 663-4331
(812) 663-1316
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
07-004714-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100268720A
—
IN
Enumeration date
07/18/2005
Last updated
04/13/2017
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