Decatur County Memorial Hospital

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

05-005057-1 Issued in IN

Legal business name

DECATUR COUNTY MEMORIAL HOSPITAL

Practice address

955 N. Michigan St.
Greensburg, IN 47240-1327

Phone

(812) 662-7500

Fax

(812) 662-8400

NPI assigned

Jul 7, 2005

Organization subpart

Yes

Parent organization

DECATUR COUNTY MEMORIAL HOSPITALAs reported in NPPES

Name

Ms. Michelle M. Green

Title

Director of Home Health

Phone

(812) 663-1212

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tommy Ashvin Potti, M.D.

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1942596853
  NPD (past)

Part of

Decatur County Mem Hosp

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2018.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1124025010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401327",
            "telephone_number": "812-662-7500",
            "fax_number": "812-662-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N. MICHIGAN ST.",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401327",
            "telephone_number": "812-662-7500",
            "fax_number": "812-662-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DECATUR COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2005-07-07",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR OF HOME HEALTH",
        "authorized_official_telephone_number": "812-663-1212",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "05-005057-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264300A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DC Integrated Medicine Corporation
• Decatur County Community Schools
• Decatur County Health Department
• Decatur County Memorial Hospital
• Decatur County Memorial Hospital
• Decatur County Memorial Hospital
• Decatur County Memorial Hospital
• Decatur County Memorial Hospital
• Decatur County Memorial Hospital
• Decatur County Memorial Hospital

• All providers in Greensburg, IN
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.