Active NPI
Scott County Memorial Hospital
- Critical Access Hospital
- Scottsburg, IN
National Provider Identifier
1154396604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 060047781
- Legal business name
- SCOTT COUNTY MEMORIAL HOSPITAL
- Practice address
- 1451 N Gardner St
Scottsburg, IN 47170-7751 - Phone
- (812) 752-3456
- Fax
- (812) 752-5884
- NPI assigned
- Feb 20, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Jerry Dooley
- Title
- President
- Phone
- (812) 752-3456
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Bedford, IN
- NPI 1831119239
-
- Diagnostic Radiology Physician
- Decatur, GA
- NPI 1215919121
National Provider Directory
National Provider DirectoryLocations
1319 Duncan Ave
Ste 100
Jeffersonville, IN 47130
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 060047781 | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1451 N Gardner St
Scottsburg, IN 47170-7751
Mailing address
1451 N Gardner St
Scottsburg, IN 47170-7751
Phone (812) 752-3456
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100268930 | Medicaid | IN |
Other names 1
NPPES NPI Registry- Scott Memorial Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2013.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363219200000",
"number": "1154396604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 N GARDNER ST",
"city": "SCOTTSBURG",
"state": "IN",
"postal_code": "471707751",
"telephone_number": "812-752-3456",
"fax_number": "812-752-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 N GARDNER ST",
"city": "SCOTTSBURG",
"state": "IN",
"postal_code": "471707751",
"telephone_number": "812-752-3456",
"fax_number": "812-752-5884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-20",
"last_updated": "2013-03-14",
"status": "A",
"authorized_official_last_name": "DOOLEY",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-752-3456",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "IN",
"license": "060047781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100268930",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Scott Memorial Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scottsburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.