Active NPI
Rush Memorial Hospital
- Critical Access Hospital
- Rushville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 060050822
- Legal business name
- RUSH MEMORIAL HOSPITAL
- Practice address
- 1300 N Main St
Rushville, IN 46173-1116 - Phone
- (765) 932-7420
- Fax
- (765) 932-7505
- NPI assigned
- Jan 31, 2006
- Organization subpart
- Yes
- Parent organization
- RUSH MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bradley K Smith
- Title
- Ceo
- Phone
- (765) 932-7513
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Pediatrics Physician | 208000000X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Surgery Physician | 208600000X | |||
| Critical Access Hospital | 282NC0060X | 060050822 | IN | Primary |
| Ambulance | 341600000X | 0949 | IN | |
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1300 N Main St
Rushville, IN 46173-1116
Mailing address
PO Box 608
Rushville, IN 46173-0608
Phone (765) 932-4111
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100269830B | Medicaid | IN | |
| 100269820A | Medicaid | IN | |
| 200861150A | Medicaid | IN | |
| 000000098270 | Other | IN | BLUE CROSS PROVIDER # |
| 100269830A | Medicaid | IN | |
| 0300696 | Medicaid | OH | |
| 100269830C | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000164 | IN | Part B Supplier - Clinic/Group Practice | 7012802754 |
Receives reassigned benefits from 93 practitioners Practice locations: Milroy, IN; Rushville, IN |
| O20071103000107 | IN | Part A Provider - Critical Access Hospital | 7012802754 |
Receives reassigned benefits from 3 practitioners Practice locations: Rushville, IN |
Hospital certification: CCN 151304
- Legal name
- RUSH MEMORIAL HOSPITAL
- Doing business as
- RUSH MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Aug 1, 2000
- Last certification
- Jun 27, 2023
- Beds
- 25
- Ownership / control type
- Local
- Organization structure
- Government
- Enrollment address
- 1300 N Main St
Rushville, IN 46173-1116
Related certifications (CCN) 3
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- Medicare Defined Swing Bed Hospital Unit
- Rushville, IN
- NPI 1962462796
Hospital unit
Other NPIs with the same Medicare PAC ID 8
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Medicare Defined Swing Bed Hospital Unit
- Rushville, IN
- NPI 1962462796
7012802754
Care Compare: Hospital
Medicare Care Compare- Listed as
- Rush Memorial Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Part of
- Rush Memorial Home Health
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
Locations
152 E US Highway 52
Rushville, IN 46173
Phone (317) 932-4109
1264 S State Road 3
Rushville, IN 46173
Phone (765) 932-7010
Interoperability endpoints
- danielstahl@rushmemorial.cernerdirect.com
- pamelalaughlin@rushmemorial.cernerdirect.com
- georgewairiuko@rushmemorial.cernerdirect.com
- abdulrazakkedo@rushmemorial.cernerdirect.com
- joycegeis@rushmemorial.cernerdirect.com
- syedmoazzem@rushmemorial.cernerdirect.com
- leahfreeman@rushmemorial.cernerdirect.com
- raiddaas@rushmemorial.cernerdirect.com
- russelldaugherty@rushmemorial.cernerdirect.com
- amberhillnp@rushmemorial.cernerdirect.com
- jeffreyginther@rushmemorial.cernerdirect.com
- jonathanlesar@rushmemorial.cernerdirect.com
- jolenekey@rushmemorial.cernerdirect.com
- shotarosano@rushmemorial.cernerdirect.com
- mandyprice@rushmemorial.cernerdirect.com
- timothyheckard@rushmemorial.cernerdirect.com
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Paul Wilkinson | Corporate Director | Apr 29, 2019 | |
| Mark E Bacon | Corporate Director | Jan 1, 2013 | |
| Bradley K Smith | Corporate Director | Dec 1, 1998 | |
| Ashley Kinder | Corporate Director | May 1, 2020 | |
| W-2 Managing Employee | May 1, 2020 | ||
| John M Byrne | Corporate Director | Jul 1, 1998 | |
| Dennis Corn | Corporate Director | Apr 29, 2019 | |
| Kipland J Burkett | Corporate Director | Jan 1, 2010 | |
| Bruce W Levi | Corporate Director | Jan 1, 2013 |
All facility ownership & control disclosures 7
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Rush Memorial Hospital | Hospital | Other | Jun 12, 2019 |
| Flatrock River Lodge | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2012 |
| White River Lodge | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2012 |
| Lodge of the Wabash | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2012 |
| Westminster Village Health & Rehab | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| RMH Healthcare Associates Rural Health Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 24, 2019 |
| RMH Milroy Primary Care | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 29, 2019 |
Owned or controlled facilities with NPI records 7
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Rushville, IN
- NPI 1053671255
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Terre Haute, IN
- NPI 1467443788
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Bedford, IN
- NPI 1609136159
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Milroy, IN
- NPI 1629800297
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Rushville, IN
- NPI 1659935781
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Vincennes, IN
- NPI 1982964433
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 118
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Indianapolis, IN
- NPI 1528453636
IN, Internal Medicine
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1154395630
IN, Internal Medicine
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Indianapolis, IN
- NPI 1861626038
IN, Internal Medicine
-
- Cardiovascular Disease Physician
- Avon, IN
- NPI 1861466377
Cardiovascular Disease, IN
-
- Cardiovascular Disease Physician
- Carmel, IN
- NPI 1346215696
IN, Internal Medicine
Affiliated clinicians 96
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Indianapolis, IN
- NPI 1861626038
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1497726020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 608",
"city": "RUSHVILLE",
"state": "IN",
"postal_code": "461730608",
"telephone_number": "765-932-4111",
"fax_number": "765-932-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N MAIN ST",
"city": "RUSHVILLE",
"state": "IN",
"postal_code": "461731116",
"telephone_number": "765-932-7420",
"fax_number": "765-932-7505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSH MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RUSH MEMORIAL HOSPITAL",
"enumeration_date": "2006-01-31",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "765-932-7513",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "IN",
"license": "060050822",
"primary": true
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IN",
"license": "0949",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100269830B",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100269820A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200861150A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "000000098270",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100269830A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0300696",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100269830C",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rushville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.