NPIMap

Organization Active NPI

Cameron Memorial Community Hospital, Inc.

  • Critical Access Hospital
  • Angola, IN
National Provider Identifier
1386683316
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1C16212 Issued in IN
Legal business name
CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
Practice address
416 E Maumee St
Angola, IN 46703-2015
Phone
(260) 665-2141
Fax
(260) 665-2879
NPI assigned
Jun 5, 2006
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Andrew AldredNPI 1912483330
Title
VP/Coo
Phone
(260) 667-5330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 1C16212 IN Primary

Addresses

Primary practice location

416 E Maumee St
Angola, IN 46703-2015

Mailing address

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 665-2141

Other identifiers 2

IdentifierTypeStateIssuer
000000097652OtherINBLUE CROSS BLUE SHIELD
100267970MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trumsey8831@direct.parkviewexchange.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040323001008 IN Part B Supplier - Clinic/Group Practice 9234020835 Receives reassigned benefits from 136 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Angola, IN; Fremont, IN; Fort Wayne, IN
O20060622000002 IN Part A Provider - Critical Access Hospital 9234020835 Receives reassigned benefits from 70 practitioners
Practice locations: Angola, IN; Fremont, IN
O20081023000562 IN Part A Provider - Critical Access Hospital 9234020835 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Angola, IN

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1386683316. Details of each certification follow.

Hospital certification: CCN 151315

Legal name
CAMERON MEMORIAL COMMUNITY HOSPITAL INC
Doing business as
CAMERON MEMORIAL COMMUNITY HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2003
Last certification
May 11, 2022
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Enrollment address
416 E Maumee St
Angola, IN 46703-2015

Hospital certification: CCN 15Z315

Legal name
CAMERON MEMORIAL COMMUNITY HOSPITAL INC
Doing business as
CAMERON MEMORIAL COMMUNITY HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 2000 in IN
Enrollment address
416 E Maumee St
Angola, IN 46703-2015
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Cameron HealthCCN 151315 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1107 W Maumee St
Ste A
Angola, IN 46703
Phone (260) 665-4585

1500 W Maumee St
Angola, IN 46703
Phone (260) 665-8494

306 E Maumee St
Ste 102
Angola, IN 46703
Phone (260) 266-5300

306 E Maumee St
Ste 103
Angola, IN 46703
Phone (260) 432-1800

306 E Maumee St
Ste 104
Angola, IN 46703
Phone (260) 675-7885

306 E Maumee St
Ste 303
Angola, IN 46703
Phone (260) 665-8494

2510 E DuPont Rd
Ste 112
Fort Wayne, IN 46825
Phone (260) 471-5980

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carrie Vollmer-Sanders Individual Corporate Officer Feb 6, 2026
Todd C Rumsey Individual Corporate OfficerTreasurer Sep 30, 2013
Ann Rice Individual Corporate Officer Feb 6, 2026
Wendy Jean Stamper Individual Corporate DirectorController Jan 1, 2020
Corporate DirectorController Feb 1, 2020
Jonathan Orlando Cress Individual Corporate Officer Feb 6, 2026
Scott Gruner Individual Corporate Director Feb 6, 2026
Janelle Sponsler Individual W-2 Managing EmployeeDirector of PT Accting Oct 30, 2020
Luke Andrews Individual Corporate Officer Feb 6, 2026
Angela M Logan Individual Corporate OfficerCeo May 1, 2021
Corporate OfficerCeo May 28, 2019
Andrew Kleber Individual Corporate Officer Feb 6, 2026
Donna K Elbrecht Individual Corporate Officer Feb 6, 2026
Kendra Klink Individual Corporate Officer Feb 6, 2026
John McCoy Individual Corporate Officer Sep 30, 2013
Corporate OfficerVice Chair Sep 30, 2013
Charles L Maclean Individual Corporate Officer Feb 6, 2026
Deborah E McHenry Individual Corporate OfficerChair Sep 30, 2013
Jennifer L Danic Individual Corporate OfficerImmediate Past Chair Sep 30, 2013
Teresa L King Individual Corporate OfficerSecretary Sep 30, 2013
Andrew Michael Aldred Individual Corporate OfficerCoo Feb 1, 2020
Cameron Memorial Community Hospital Inc Organization, Angola, IN Corporation Operational/Managerial Control Jan 1, 1989

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cameron Memorial Community Hospital IncAngola, IN, CCN 15Z315 Hospital Operational/Managerial Control Jan 1, 1989
Cameron Jointaccess Ortho & UrgentAngola, IN, CCN 158545 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 25, 2023
Cameron OB/GYNAngola, IN, CCN 158546 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 25, 2023
Cameron Family Medicine - NorthAngola, IN, CCN 158570 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2021
Cameron Family Medicine FremontFremont, IN, CCN 158571 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2023

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 134

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.

View all 134

Affiliated clinicians 296

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 296

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1386683316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E MAUMEE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032015",
            "telephone_number": "260-665-2141",
            "fax_number": "260-665-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E MAUMEE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032015",
            "telephone_number": "260-665-2141",
            "fax_number": "260-665-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-01-25",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "ALDRED",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "VP/COO",
        "authorized_official_telephone_number": "260-667-5330"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IN",
            "license": "1C16212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000097652",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267970",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trumsey8831@direct.parkviewexchange.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "416 E Maumee St",
            "city": "Angola",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467032015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Angola, IN

Sources for this page

Verify at the official NPI Registry.