NPIMap

Organization Active NPI

Community Hopsital of Lagrange County,Inc

  • Durable Medical Equipment & Medical Supplies
  • Shipshewana, IN
National Provider Identifier
1316188667
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01061887A Issued in IN
Legal business name
COMMUNITY HOPSITAL OF LAGRANGE COUNTY,INC
Practice address
8175 West US 20
Shipshewana, IN 46565-9169
Phone
(260) 768-7432
Fax
(260) 768-7482
NPI assigned
Mar 17, 2009
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HOPSITAL OF LAGRANGE COUNTY,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Mr. Mark Nafziger
Title
Executive VP--Cfo
Phone
(260) 373-7008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01061887A IN Primary

Addresses

Primary practice location

8175 West US 20
Shipshewana, IN 46565-9169

Mailing address

1900 Carew Street
Suite 1
Fort Wayne, IN 46805-4765
Phone (260) 373-9700

Other names 1

  • Shipshewana Family Healthcare Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Hospital of4 organizations share this tax ID, including this one
Part of
Community Hospital of

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1316188667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CAREW STREET",
            "address_2": "SUITE 1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054765",
            "telephone_number": "260-373-9700",
            "fax_number": "260-373-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 WEST US 20",
            "city": "SHIPSHEWANA",
            "state": "IN",
            "postal_code": "465659169",
            "telephone_number": "260-768-7432",
            "fax_number": "260-768-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOPSITAL OF LAGRANGE COUNTY,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOPSITAL OF LAGRANGE COUNTY,INC",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "NAFZIGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE VP--CFO",
        "authorized_official_telephone_number": "260-373-7008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "01061887A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shipshewana Family Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shipshewana, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.