NPIMap

Organization Active NPI

Jay County Hospital

  • Surgery Physician
  • Portland, IN
National Provider Identifier
1366741092
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JAY COUNTY HOSPITAL
Practice address
510 W Votaw St
Suite B
Portland, IN 47371-1322
Phone
(260) 726-2890
Fax
(260) 726-3131
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Don Michael
Title
Cfo
Phone
(260) 726-7131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

510 W Votaw St
Suite B
Portland, IN 47371-1322

Mailing address

510 W Votaw St
Suite B
Portland, IN 47371-1322
Phone (260) 726-2890

Other names 1

  • TriCounty Surgery Other name

National Provider Directory

National Provider Directory

Locations

510 W Votaw St
#B
Portland, IN 47371
Phone (219) 726-2890

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1366741092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W VOTAW ST",
            "address_2": "SUITE B",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711322",
            "telephone_number": "260-726-2890",
            "fax_number": "260-726-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W VOTAW ST",
            "address_2": "SUITE B",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711322",
            "telephone_number": "260-726-2890",
            "fax_number": "260-726-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "260-726-7131"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TriCounty Surgery",
            "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 Mar 21, 2011; 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.