Organization Active NPI

Jasper County Hospital

Doing business as Jasper County Hospital Anesthesia

  • Critical Access Hospital
  • Rensselaer, IN
National Provider Identifier
1417029315
Registry record updated Nov 6, 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
Doing business as
Jasper County Hospital Anesthesia
Practice address
1104 E Grace St
Rensselaer, IN 47978-3211
Phone
(219) 866-5141
Fax
(219) 866-3234
NPI assigned
Nov 15, 2006
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
JASPER COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Mr. Jeffrey D Webb, C.P.A.
Title
Vice President of Financial Service
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 47978-3211

Mailing address

1104 E Grace St
Rensselaer, IN 47978-3211
Phone (219) 866-5141

Other identifiers 2

IdentifierTypeStateIssuer
000000297276OtherINBLUE CROSS
100269680AMedicaidIN

Other names 1

  • Jasper County Hospital Anesthesia Doing business as

National Provider Directory

National Provider Directory
Part of
Jasper County Hospital

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1417029315",
    "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": "479783211",
            "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": "479783211",
            "telephone_number": "219-866-5141",
            "fax_number": "219-866-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JASPER COUNTY HOSPITAL",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCIAL SERVICE",
        "authorized_official_telephone_number": "219-866-5141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IN",
            "license": "05-005072-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000297276",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100269680A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasper County Hospital Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 6, 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.