Organization Active NPI

Scott County Memorial Hospital

  • Critical Access Hospital
  • Scottsburg, IN
National Provider Identifier
1154396604
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
060047781 Issued in IN
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.

National Provider Directory

National Provider Directory

Locations

1319 Duncan Ave
Ste 100
Jeffersonville, IN 47130

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 060047781 IN Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
100268930MedicaidIN

Other names 1

NPPES NPI Registry
  • Scott Memorial Hospital Doing business as

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.

Verify at the official NPI Registry.