Cameron Memorial Community Hospital, Inc.
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Angola, IN
NPI 1457577488 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1457577488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
- Practice address
- 416 E Maumee St
Angola, IN 46703-2015 - Phone
- (260) 665-2141
- Fax
- (260) 665-7886
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Carlos Alcazar
- Title
- VP/Cfo
- Phone
- (260) 667-5133
Owners & managing parties with NPI records 9
-
Todd C Rumsey, MD
-
Teresa King, MD
Owned or controlled facilities with NPI records 5
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 6
Related certifications (CCN) 1
Facilities with the same owner 4
Practitioners 83
-
Jessica Baker, NP
-
Kelly Bireley, FNP-BC
-
Todd D Brandon, M.D.
-
Christy R. Brown, CRNA
-
Trisha D Brown, CNM, WHNP
-
Jeanette Cochran, N.P.
-
Simon Peter Crass, M.D.
-
Nicole A Deller, PMHNP
-
Patricia Dingman, FNP-C
-
Joseph W Egbert, CRNA
-
Laura M Folds, N.P.
-
Matthew H Franz, MD
-
Brandy M. German, NP-C
-
Jordan Geroski, DO
Affiliated clinicians 3
-
Terence Anguh, M.D.
-
Wajehe Najafi, MD
-
Douglas I Cifuentes, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Hospital certification: CCN 15Z315
- Legal name
- CAMERON MEMORIAL COMMUNITY HOSPITAL INC
- Doing business as
- CAMERON MEMORIAL COMMUNITY HOSPITAL INC
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 1, 2000 in IN
- Enrollment address
- 416 E Maumee St
Angola, IN 46703-2015
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Todd C Rumsey |
Corporate Officer |
Sep 30, 2013 | |
| Wendy Jean Stamper |
Corporate Director |
Feb 1, 2020 | |
| Deborah E McHenry |
Corporate Officer |
Sep 30, 2013 | |
| Janelle Sponsler |
W-2 Managing Employee |
Oct 30, 2020 | |
| Jennifer L Danic |
Corporate Officer |
Sep 30, 2013 | |
| Teresa L King |
Corporate Officer |
Sep 30, 2013 | |
| Angela M Logan |
Corporate Officer |
May 28, 2019 | |
| Andrew Michael Aldred |
Corporate Officer |
Feb 1, 2020 | |
| Cameron Memorial Community Hospital Inc |
Operational/Managerial Control | Jan 1, 1989 | |
| John McCoy |
Corporate Officer |
Sep 30, 2013 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Cameron Jointaccess Ortho & Urgent |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 25, 2023 |
| Cameron OB/GYN |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 25, 2023 |
| Cameron Family Medicine - North |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2021 |
| Cameron Family Medicine Fremont |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081023000562 | IN | Part a Provider - Critical Access Hospital | 9234020835 |
1 other NPI on this enrollment Practice locations: Angola, IN |
National Provider Directory
- Tax ID family
- Cameron Memorial Community Hospital Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
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 providers in Angola, IN
- Cameron Memorial Community Hospital, Inc
- Cameron Memorial Community Hospital, Inc
- Cameron Memorial Community Hospital, Inc
- Cameron Memorial Community Hospital, Inc.
- Cameron Memorial Community Hospital, Inc.
- Carefirst of Fortwayne Inc
- Kaitlyn Adele Carlin
- Kyley Jordan Carlin
- Valerie Lynne Case
- CG-Dsa, LLC
All providers in Angola, IN · Medicare Defined Swing Bed Hospital Unit in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.