Active NPI
Dekalb Memorial Hospital, Inc
- Family Medicine Physician
- Auburn, IN
National Provider Identifier
1497278824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DEKALB MEMORIAL HOSPITAL, INC
- Practice address
- 1314 E 7TH St Ste 103
Auburn, IN 46706-2533 - Phone
- (260) 920-2501
- NPI assigned
- Jul 18, 2017
- 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
- Bret Claghorn
- Title
- VP Finance
- Phone
- (260) 927-5012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1314 E 7TH St Ste 103
Auburn, IN 46706-2533
Mailing address
PO Box 623
Auburn, IN 46706-0623
Other names 1
- Parkview Health Medical Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574035200000",
"number": "1497278824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 623",
"city": "AUBURN",
"state": "IN",
"postal_code": "467060623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 E 7TH ST STE 103",
"city": "AUBURN",
"state": "IN",
"postal_code": "467062533",
"telephone_number": "260-920-2501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEKALB MEMORIAL HOSPITAL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-18",
"last_updated": "2019-11-18",
"status": "A",
"authorized_official_last_name": "CLAGHORN",
"authorized_official_first_name": "BRET",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "260-927-5012"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Parkview Health Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Auburn, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.