Madison County Hospital Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0036HSP Issued in OH

Legal business name

MADISON COUNTY HOSPITAL HOSPICE

Practice address

212 N Main St
London, OH 43140-1115

Phone

(740) 845-7000

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Fred Kolb

Title

Chief Executive Officer

Phone

(740) 845-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Madison County Community Hospital Other name

Locations

Practitioners 3

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

• Katherine Elaine Binns, DO

  • Family Medicine Physician
  • Mount Sterling, OH
  • NPI 1760697676
  NPD (past)
• Durga Reddy Jonnalagadda, MD

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1336550078
  NPD (past)
• Julie Anne Brockman, APRN-CNP

  • Addiction Medicine (Family Medicine) Physician
  • Grandville, MI
  • NPI 1104668102
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1164698338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401115",
            "telephone_number": "740-845-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY HOSPITAL HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "740-845-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0036HSP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0820179",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison County Community Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madison County Community Hospital
• Madison County Dept. of Family & Children
• Madison County Emergency Medical District
• Madison County Hearing Aid Center
• Madison County Hospital
• Madison County Senior Citizens Center Inc
• Madison Emergency Physicians Inc
• Madison Family Health Corporation
• Madison Internal Medicine Inc.
• Madison Medical Center Urgent Care

• Community Based Hospice Care Agency in London, OH
• Providers in London, OH by specialty
• Community Based Hospice Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.