Dekalb Memorial Hospital Inc
Organization Active NPI Physician Assistant · Auburn, IN
NPI 1497292452 · NPPES record last updated Jan 27, 2017
Key facts
- NPI
- 1497292452
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physician Assistant 363A00000X
- Legal business name
- DEKALB MEMORIAL HOSPITAL INC
- Practice address
- 400 Erie Pass
Auburn, IN 46706-2523 - Phone
- (260) 925-1255
- NPI assigned
- Jan 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Craig Polkow
- Title
- Ceo
- Phone
- (260) 920-2501
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Physician Assistant |
363A00000X | Yes |
Addresses
Primary practice location
400 Erie Pass
Auburn, IN 46706-2523
Mailing address
PO Box 623
Auburn, IN 46706-0623
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191560 | Other | IN | MEDICARE PTAN |
Other names
- Dekalb Health
Other providers in Auburn, IN
- Dekalb Health Memorial Hosptial Inc
- Dekalb Memorial Hospital
- Dekalb Memorial Hospital Inc
- Dekalb Memorial Hospital Inc
- Dekalb Memorial Hospital Inc
- Dekalb Memorial Hospital Inc
- Dekalb Memorial Hospital, Inc
- Dekalb Memorial Hospital, Inc
- Dekalb Memorial Hospital, Inc
- Dekalb Memorial Hospital, Inc
All providers in Auburn, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.