NPIMap

Organization Active NPI

Memorial Hospital

  • Ambulance
  • Logansport, IN
National Provider Identifier
1154301661
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MEMORIAL HOSPITAL
Practice address
1101 Michigan Ave
Logansport, IN 46947-1528
Phone
(574) 753-1502
NPI assigned
Jan 19, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Tara McVay
Title
President/Ceo
Phone
(574) 753-1385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

1101 Michigan Ave
Logansport, IN 46947-1528

Mailing address

1101 Michigan Ave
Logansport, IN 46947-1528
Phone (574) 753-1502

Other identifiers 1

IdentifierTypeStateIssuer
100453840AMedicaidIN

Other names 1

  • Ambulance Other name

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital5 organizations share this tax ID, including this one
Part of
Memorial Hospital

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1025 Michigan Ave
Logansport, IN 46947
Phone (574) 753-9000

1025 Michigan Ave
Ste LL15
Logansport, IN 46947
Phone (574) 753-1739

1101 Michigan Ave
Ste 0
Logansport, IN 46947

1101 Michigan Ave
Ste 10
Logansport, IN 46947
Phone (574) 753-5611

12 Chase Park
Ste 12
Logansport, IN 46947

1201 Michigan Ave
Ste 140
Logansport, IN 46947
Phone (574) 753-1462

1201 Michigan Ave
Ste 90
Logansport, IN 46947
Phone (574) 753-1331

1694 W Logansport Rd
Peru, IN 46970
Phone (765) 472-2519

Interoperability endpoints

  • FHIR API: https://arrprd.mhhcc.org/OAuth2/api/FHIR/R4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/62ec6f7d-af4b-46d8-93b5-703ae9be8c7e/

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1154301661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MICHIGAN AVE",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471528",
            "telephone_number": "574-753-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MICHIGAN AVE",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471528",
            "telephone_number": "574-753-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-09-02",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "MCVAY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "574-753-1385"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100453840A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Logansport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.