NPIMap

Organization Active NPI

Union Hospital Inc

  • Rural Health Clinic/Center
  • Cayuga, IN
National Provider Identifier
1104871664
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UNION HOSPITAL INC
Practice address
114 N Division Street
Cayuga, IN 47928
Phone
(765) 492-9042
Fax
(765) 492-9044
NPI assigned
May 23, 2006
Organization subpart
Yes
Parent organization
UNION HOSPITAL INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathy Pallutch
Title
Director
Phone
(812) 238-7000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

114 N Division Street
Cayuga, IN 47928

Mailing address

PO Box 2505
Indianapolis, IN 46206-2505
Phone (812) 238-7783

Other identifiers 2

IdentifierTypeStateIssuer
153876OtherINRIVERBEND
200074840GMedicaidIN

Other names 1

  • WCCH-Cayuga Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Bala C Rangaswami MD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1104871664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2505",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062505",
            "telephone_number": "812-238-7783",
            "fax_number": "812-238-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N DIVISION STREET",
            "city": "CAYUGA",
            "state": "IN",
            "postal_code": "47928",
            "telephone_number": "765-492-9042",
            "fax_number": "765-492-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION HOSPITAL INCORPORATED",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "PALLUTCH",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-238-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIVERBEND",
            "identifier": "153876",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200074840G",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCCH-Cayuga Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cayuga, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.