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Sullivan County Community Hospital

Organization Active NPI Critical Access Hospital Clinic/Center · Sullivan, IN

NPI 1487450698 · NPPES record last updated Jan 30, 2026

Key facts

NPI
1487450698
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital Clinic/Center 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
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 2

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

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 6

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

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

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 58

Affiliated clinicians 228

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

View all 228

Medicare Care Compare: Hospital

Listed as
Sullivan County Community Hospital CCN 151327
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IN

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
Other · Non-profit
Enrollment address
2200 N Section St
Sullivan, IN 47882-7523
Other Hospital Practice Location

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 Director
Board Member		 Jul 1, 2018 100%
Carrie Page
Individual 		Corporate Director Jul 1, 2020
Jennifer Ridgway
Individual 		Corporate Director Jun 21, 2021
W-2 Managing Employee
Revenue Cycle Director		 Jun 21, 2021 100%
Alan Badger
Individual 		Corporate Director
Board Member		 Jul 15, 2017 100%
Sarah E Hannon
Individual 		Corporate Director
Board Member		 Jul 1, 2023 100%
Michelle R Franklin
Individual 		Corporate Officer May 4, 2006
Corporate Director
Ceo		 May 4, 2006
Thad L Pirtle
Individual 		Corporate Director
Board 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 Hospital
Sullivan, IN · CCN 15Z327		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Family Practice Associates of Sullivan County
Sullivan, IN · CCN 158540		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019

Medicare enrollment records

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

National Provider Directory

Tax ID family
Sullivan County Community Hospital (7 organizations share this tax ID)

Locations

817 N Section St
Ste A
Sullivan, IN 47882

2200 N Section St
#A
Sullivan, IN 47882
Phone (812) 268-3318

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

Specialties & licenses

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

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

Other providers in Sullivan, IN

All providers in Sullivan, IN · Critical Access Hospital Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.