NPIMap

Organization Active NPI

Jasper County Hospital

  • Critical Access Hospital
  • Rensselaer, IN
National Provider Identifier
1336306364
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
05-005072-2 Issued in IN
Legal business name
JASPER COUNTY HOSPITAL
Practice address
1104 E Grace St
Rensselaer, IN 47978-3296
Phone
(219) 866-5141
Fax
(219) 866-3234
NPI assigned
May 19, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Jeffrey D Webb, CPA
Title
VP of Financial Services
Phone
(219) 866-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 05-005072-2 IN Primary

Addresses

Primary practice location

1104 E Grace St
Rensselaer, IN 47978-3296

Mailing address

1104 E Grace St
Rensselaer, IN 47978-3296
Phone (219) 866-5141

Other identifiers 1

IdentifierTypeStateIssuer
200714910AMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Jasper County Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1336306364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 E GRACE ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479783296",
            "telephone_number": "219-866-5141",
            "fax_number": "219-866-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E GRACE ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479783296",
            "telephone_number": "219-866-5141",
            "fax_number": "219-866-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "219-866-5141",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IN",
            "license": "05-005072-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200714910A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.