NPIMap

Organization Active NPI

Sullivan County Community Hospital

  • Critical Access Hospital Clinic/Center
  • Sullivan, IN
National Provider Identifier
1487450698
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
Legal business name
SULLIVAN COUNTY COMMUNITY HOSPITAL
Practice address
2120 N Section St
Sullivan, IN 47882-7518
Phone
(812) 268-4311
NPI assigned
Feb 20, 2025
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Jennifer Ridgway
Title
Revenue Cycle Director
Phone
(812) 268-4311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X Primary

Addresses

Primary practice location

2120 N Section St
Sullivan, IN 47882-7518

Mailing address

PO Box 10
Sullivan, IN 47882-0010
Phone (812) 268-4311

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061104000528 IN Part A Provider - Critical Access Hospital 2466497482 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sullivan, IN
O20250612000721 IN Part B Supplier - Clinic/Group Practice 2466497482 Receives reassigned benefits from 16 practitioners
Practice locations: Sullivan, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487450698. Details of each certification follow.

Hospital certification: CCN 151327

Legal name
SULLIVAN COUNTY COMMUNITY HOSPITAL
Doing business as
SULLIVAN COUNTY COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2005
Last certification
Apr 8, 2015
Beds
25
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
2200 N Section St
Sullivan, IN 47882-7523
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Sullivan County Community HospitalCCN 151327 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Sullivan County Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

2186 N Hospital Blvd
Ste 2
Sullivan, IN 47882
Phone (812) 268-3318

2229 Mary Sherman Dr
Sullivan, IN 47882
Phone (812) 238-2100

817 N Section St
#A
Sullivan, IN 47882
Phone (312) 353-4363

817 N Section St
Ste A
Sullivan, IN 47882

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Jim Bishop Individual Corporate Officer Mar 1, 2018
Corporate Director Mar 1, 2018
Vincent Bruce Walkup Individual Corporate DirectorBoard Member Jul 1, 2018 100%
Carrie Page Individual Corporate Director Jul 1, 2020
Jennifer Ridgway Individual Corporate Director Jun 21, 2021
W-2 Managing EmployeeRevenue Cycle Director Jun 21, 2021 100%
Alan Badger Individual Corporate DirectorBoard Member Jul 15, 2017 100%
Sarah E Hannon Individual Corporate DirectorBoard Member Jul 1, 2023 100%
Michelle R Franklin Individual Corporate Officer May 4, 2006
Corporate DirectorCeo May 4, 2006
Thad L Pirtle Individual Corporate DirectorBoard Member Jul 1, 2023 100%
Quorum Health Resources LLC Organization, Brentwood, TN Consulting firm Operational/Managerial Control Sep 12, 2008

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Sullivan County Community HospitalSullivan, IN, CCN 15Z327 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Family Practice Associates of Sullivan CountySullivan, IN, CCN 158540 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 52

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 52

Affiliated clinicians 228

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

View all 228

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1487450698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478820010",
            "telephone_number": "812-268-4311",
            "fax_number": "812-268-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N SECTION ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478827518",
            "telephone_number": "812-268-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "RIDGWAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "812-268-4311"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivan, IN

Sources for this page

Verify at the official NPI Registry.