MSD of Shakamak

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MSD OF SHAKAMAK

Practice address

RR 2 Box 42
Jasonville, IN 47438-9511

Phone

(812) 665-3550

Fax

(812) 665-5001

NPI assigned

Sep 6, 2006

Last updated

Aug 22, 2020By 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

C G Epple

Title

Superintendent

Phone

(812) 665-3550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124121173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 42",
            "address_2": "BOX 42",
            "city": "JASONVILLE",
            "state": "IN",
            "postal_code": "474389511",
            "telephone_number": "812-665-3550",
            "fax_number": "812-665-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 42",
            "city": "JASONVILLE",
            "state": "IN",
            "postal_code": "474389511",
            "telephone_number": "812-665-3550",
            "fax_number": "812-665-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSD OF SHAKAMAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPPLE",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "812-665-3550"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greene County Health, Inc
• Jasonville SNF Opco LLC
• Ayrica S Keller
• Karin McKnight, PT
• Samuel Edward Messmer, ATC, LAT
• Ruth A Quinlan, QMRP
• Lisa Leann Racine, OTR
• Shakamak Family Dentistry, LLC
• Shakamak Health Inc (Shakamak Pharmacy)
• Shakamak Health Inc (Shakamak Pharmacy)

• Local Education Agency (LEA) in Jasonville, IN
• Providers in Jasonville, IN by specialty
• Local Education Agency (LEA) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.