NPIMap

Organization Active NPI

Jay County Hospital

  • Psychiatric Hospital Unit
  • Portland, IN
National Provider Identifier
1275506024
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
005029 Issued in IN
Legal business name
JAY COUNTY HOSPITAL
Practice address
500 W Votaw St
Portland, IN 47371-1322
Phone
(260) 726-7131
Fax
(260) 726-1976
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Lynn Hampson
Title
Patient Information Services Coordi
Phone
(260) 726-1812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 005029 IN Primary

Addresses

Primary practice location

500 W Votaw St
Portland, IN 47371-1322

Mailing address

500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-7131

Other identifiers 1

IdentifierTypeStateIssuer
100269610BMedicaidIN

Other names 1

  • LifeBridge Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1275506024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W VOTAW ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711322",
            "telephone_number": "260-726-7131",
            "fax_number": "260-726-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W VOTAW ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711322",
            "telephone_number": "260-726-7131",
            "fax_number": "260-726-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "HAMPSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PATIENT INFORMATION SERVICES COORDI",
        "authorized_official_telephone_number": "260-726-1812"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IN",
            "license": "005029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100269610B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeBridge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.