Active NPI
Board of Trustees of Howard Community Hospital
Doing business as Howard Regional Health System - Vahid-David Sedaghat, MD
- Internal Medicine Physician
- Peru, IN
National Provider Identifier
1255527982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
- Doing business as
- Howard Regional Health System - Vahid-David Sedaghat, MD
- Practice address
- 1692 W Logansport Rd
Peru, IN 46970-3149 - Phone
- (765) 472-3000
- Fax
- (765) 472-3990
- NPI assigned
- Sep 17, 2007
- Last updated
- Apr 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas M Cook
- Title
- Cfo
- Phone
- (765) 453-8179
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
1692 W Logansport Rd
Peru, IN 46970-3149
Mailing address
PO Box 627341
Indianapolis, IN 46262-0001
Phone (765) 472-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200011260I | Medicaid | IN |
Other names 1
- Howard Regional Health System - Vahid-David Sedaghat, MD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209340800000",
"number": "1255527982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 627341",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462620001",
"telephone_number": "765-472-3000",
"fax_number": "765-472-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1692 W LOGANSPORT RD",
"city": "PERU",
"state": "IN",
"postal_code": "469703149",
"telephone_number": "765-472-3000",
"fax_number": "765-472-3990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-17",
"last_updated": "2008-04-28",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "765-453-8179"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200011260I",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Howard Regional Health System - Vahid-David Sedaghat, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peru, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.