Active NPI
Jay County Hospital
- Certified Registered Nurse Anesthetist
- Portland, IN
National Provider Identifier
1477526242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- JAY COUNTY HOSPITAL
- Practice address
- 500 W Votaw St
Portland, IN 47371-1322 - Phone
- (260) 726-7131
- Fax
- (260) 726-1976
- NPI assigned
- Feb 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynn Hampson
- Title
- Patient Information Services Coordi
- Phone
- (260) 726-1812
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
500 W Votaw St
Portland, IN 47371-1322
Mailing address
500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-7131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200893210A | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227484800000",
"number": "1477526242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W VOTAW ST",
"city": "PORTLAND",
"state": "IN",
"postal_code": "473711322",
"telephone_number": "260-726-7131",
"fax_number": "260-726-1976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W VOTAW ST",
"city": "PORTLAND",
"state": "IN",
"postal_code": "473711322",
"telephone_number": "260-726-7131",
"fax_number": "260-726-1976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAY COUNTY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-10",
"last_updated": "2008-11-24",
"status": "A",
"authorized_official_last_name": "HAMPSON",
"authorized_official_first_name": "LYNN",
"authorized_official_title_or_position": "PATIENT INFORMATION SERVICES COORDI",
"authorized_official_telephone_number": "260-726-1812"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200893210A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}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 Nov 24, 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.