Jasper County Hospital

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71000809A Issued in IN

Legal business name

JASPER COUNTY HOSPITAL

Doing business as

Brook Health Centre

Practice address

420 E Main St
Brook, IN 47922-8715

Phone

(219) 275-2521

Fax

(219) 275-9342

NPI assigned

Apr 20, 2006

Last updated

Jun 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey D Webb

Title

VP Financial Services

Phone

(219) 866-5141

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brook Health Centre Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Jasper County Hospital

  dba Jasper County Hospital Home Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Rensselaer, IN
  • NPI 1902864325

  Member Of

  NPD member

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1114982253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 E GRACE ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479783211",
            "telephone_number": "219-866-5141",
            "fax_number": "219-866-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E MAIN ST",
            "city": "BROOK",
            "state": "IN",
            "postal_code": "479228715",
            "telephone_number": "219-275-2521",
            "fax_number": "219-275-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP FINANCIAL SERVICES",
        "authorized_official_telephone_number": "219-866-5141"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000809A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100187080A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brook Health Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Board of Commissioners of Newton County (George Ade Memorial Health Care Center)
• Franciscan Health Rensselaer, Inc. (Franciscan Brook Health Center)
• Tina Gregorash
• Sarah Jo Myers, NP
• Marianne Nelson, M.D.
• Kathy Frances Tebo, APRN

• Family Nurse Practitioner in Brook, IN
• Providers in Brook, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.