Organization Active NPI

Franciscan Health Dyer & Hammond

Doing business as Franciscan Health Hammond

  • General Acute Care Hospital
  • Hammond, IN
National Provider Identifier
1306921911
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
06-005004-1 Issued in IN
Legal business name
FRANCISCAN HEALTH DYER & HAMMOND
Doing business as
Franciscan Health Hammond
Practice address
5454 Hohman Ave
Hammond, IN 46320-1931
Phone
(219) 932-2300
Fax
(219) 852-2492
NPI assigned
Oct 25, 2006
Last updated
Apr 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Mr. Joseph Marc Golan
Title
Cfo-Northwest Indiana
Phone
(219) 932-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 06-005004-1 IN Primary

Addresses

Primary practice location

5454 Hohman Ave
Hammond, IN 46320-1931

Mailing address

5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 932-2300

Other identifiers 2

IdentifierTypeStateIssuer
8017MedicaidIL
100268750MedicaidIN

Other names 1

  • Franciscan Health Hammond Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmdprod.craneware.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Craneware, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306921911. Details of each certification follow.

Hospital certification: CCN 150004

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FRANCISCAN HEALTH HAMMOND
Certification status
Terminated Voluntary: merger or closure, Dec 31, 2022
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 29, 2004
Beds
215
Ownership / control type
Church
Facility address
5454 Hohman Ave
Hammond, IN 46320

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1306921911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201931",
            "telephone_number": "219-932-2300",
            "fax_number": "219-852-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201931",
            "telephone_number": "219-932-2300",
            "fax_number": "219-852-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN HEALTH DYER & HAMMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "GOLAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "CFO-NORTHWEST INDIANA",
        "authorized_official_telephone_number": "219-932-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "06-005004-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8017",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268750",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmdprod.craneware.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.17.9.1",
            "affiliationName": "Craneware, Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "3340 Peachtree Rd NE Ste 850",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303261072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Franciscan Health Hammond",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Franciscan Health Hammond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, IN

Sources for this page

Verify at the official NPI Registry.