Active NPI
Jay County Hospital
- Family Medicine Physician
- Portland, IN
National Provider Identifier
1114177078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JAY COUNTY HOSPITAL
- Doing business as
- Jay Community Health Partners
- Practice address
- 500 W Votaw St
Portland, IN 47371-1322 - Phone
- (260) 726-1934
- Fax
- (260) 726-1911
- NPI assigned
- Sep 26, 2008
- Organization subpart
- Yes
- Parent organization
- JAY COUNTY HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Don Michael
- Title
- Cfo
- Phone
- (260) 726-1818
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
500 W Votaw St
Portland, IN 47371-1322
Mailing address
500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-1937
Other names 1
- Jay Community Health Partners
National Provider Directory
National Provider Directory- Part of
- Jay County Hosp
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237420800000",
"number": "1114177078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W VOTAW ST",
"city": "PORTLAND",
"state": "IN",
"postal_code": "473711322",
"telephone_number": "260-726-1937",
"fax_number": "260-726-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W VOTAW ST",
"city": "PORTLAND",
"state": "IN",
"postal_code": "473711322",
"telephone_number": "260-726-1934",
"fax_number": "260-726-1911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAY COUNTY HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JAY COUNTY HOSPITAL",
"enumeration_date": "2008-09-26",
"last_updated": "2009-03-19",
"status": "A",
"authorized_official_last_name": "MICHAEL",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "260-726-1818"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jay Community Health Partners",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Portland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.