NPIMap

Organization Active NPI

Decatur County Memorial Hospital

Doing business as Decatur County Family Medicine

  • Rural Health Clinic/Center
  • Greensburg, IN
National Provider Identifier
1437900800
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DECATUR COUNTY MEMORIAL HOSPITAL
Doing business as
Decatur County Family Medicine
Practice address
902 N Lincoln St Ste 201
Greensburg, IN 47240-1245
Phone
(812) 222-3627
NPI assigned
Apr 1, 2024
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Rex McKinney
Title
President/Ceo
Phone
(812) 663-1171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

902 N Lincoln St Ste 201
Greensburg, IN 47240-1245

Mailing address

720 N Lincoln St
Greensburg, IN 47240-1398
Phone (812) 663-4331

Other names 1

  • Decatur County Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318001580 IN Part B Supplier - Clinic/Group Practice 7315837671 Receives reassigned benefits from 177 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greensburg, IN; Batesville, IN
O20240815002660 IN Part A Provider - Rural Health Clinic 7315837671 Practice locations: Greensburg, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437900800. Details of each certification follow.

Rural health clinic certification: CCN 158591

Legal name
DECATUR COUNTY MEMORIAL HOSPITAL
Doing business as
DECATUR COUNTY FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 23, 2024
Last certification
Oct 23, 2024
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
902 N Lincoln St
Ste 201
Greensburg, IN 47240-1245
Related CCNs
151332

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

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Decatur County Mem Hospital20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

425 E Montgomery Rd
Greensburg, IN 47240
Phone (812) 662-7500

731 N Lincoln St
Greensburg, IN 47240
Phone (812) 222-2229

902 N Lincoln St
Ste 201
Greensburg, IN 47240
Phone (812) 222-3627

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Sarah Reisman Individual Corporate DirectorBoard Member Jan 1, 2023
Dennis Fogle Individual Corporate DirectorBoard Member Jan 1, 2024
Nicole S Boersma Individual Corporate DirectorBoard Member Jan 1, 2022
Rex McKinney Individual Corporate OfficerCeo Apr 1, 2024
W-2 Managing EmployeeCeo Apr 1, 2024
Operational/Managerial ControlCeo Apr 1, 2024
Catherine Keck Individual Corporate OfficerCfo Apr 1, 2024
W-2 Managing EmployeeCfo Apr 1, 2024
Operational/Managerial ControlCfo Apr 1, 2024
Jami B Rayles Individual Corporate DirectorBoard Member Jan 1, 2022
Malcomb Myers Individual Corporate DirectorBoard Member Jan 1, 2022
Tammy Williams Individual Corporate DirectorBoard Member Jan 1, 2022
Bryan Robbins Individual Corporate OfficerSecretary Apr 1, 2024
Larry Rueff Individual Corporate DirectorVice Chairperson Apr 1, 2024
Mollie Fry Individual Corporate DirectorChairperson Apr 1, 2024

Owners & managing parties with NPI records 2

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
Morning Breeze Retirement Community and Healthcare CenterGreensburg, IN, CCN 155675 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 15, 2015
Apr 15, 2015
Apr 15, 2015
Auburn VillageAuburn, IN, CCN 155666 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
The Restoracy of WhitestownWhitestown, IN, CCN 155858 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 May 1, 2020
Jul 1, 2020
Jul 1, 2020
Tree City Medical PartnersGreensburg, IN, CCN 158522 Rural health clinic Operational/Managerial Control Mar 1, 2011
Decatur County Primary CareGreensburg, IN, CCN 158521 Rural health clinic Operational/Managerial Control (100%) Mar 1, 2011

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 159

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 159

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1437900800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401398",
            "telephone_number": "812-663-4331",
            "fax_number": "812-663-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N LINCOLN ST STE 201",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401245",
            "telephone_number": "812-222-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "812-663-1171"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur County Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Decatur County Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensburg, IN

Sources for this page

Verify at the official NPI Registry.