NPIMap

Organization Active NPI

Adams County Memorial Hospital

  • Rural Health Clinic/Center
  • Monroe, IN
National Provider Identifier
1508375510
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ADAMS COUNTY MEMORIAL HOSPITAL
Practice address
205 Tower Dr
Monroe, IN 46772-9362
Phone
(260) 692-6163
Fax
(260) 728-3949
NPI assigned
Sep 21, 2017
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Kyle Sprunger
Title
Cfo/Treasurer
Phone
(260) 724-2145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

205 Tower Dr
Monroe, IN 46772-9362

Mailing address

1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041001000326 IN Part B Supplier - Clinic/Group Practice 0941198253 Receives reassigned benefits from 111 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroeville, IN; Monroe, IN; Geneva, IN; Decatur, IN; Berne, IN
O20151216001366 IN Part A Provider - Rural Health Clinic 0941198253 Practice locations: Monroe, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508375510. Details of each certification follow.

Rural health clinic certification: CCN 158526

Legal name
ADAMS COUNTY MEMORIAL HOSPITAL
Doing business as
MONROE FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 25, 2017
Last certification
Oct 25, 2017
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
205 Tower Dr
Monroe, IN 46772-9362
Related CCNs
151330

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Adams County Mem Hospital74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

205 Tower Dr
Monroe, IN 46772
Phone (260) 692-6163

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.

NameRoleSinceShare
Adams County Memorial Hospital Organization, Decatur, IN Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Larry Macklin Individual Corporate DirectorBoard Vice Chairman Jan 1, 2008
Dane Wheeler Individual Corporate OfficerCfo Sep 14, 2009
W-2 Managing EmployeeCfo Sep 14, 2009
Russell W Flueckiger Individual Corporate OfficerChairman Jan 1, 2006
David McIntire Individual Corporate OfficerSecretary Jul 1, 2020
Candice Borne-Bauman Individual Corporate OfficerBoard Member Jul 1, 2020
Kyle Sprunger Individual Corporate OfficerController Jul 1, 2020
W-2 Managing EmployeeController Jul 1, 2020
Scott T Smith Individual Corporate OfficerCeo / President Jul 1, 2020
Corporate DirectorCeo / President Jul 1, 2020

All facility ownership & control disclosures 59

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

FacilityTypeRoleSince
Adams County Memorial HospitalDecatur, IN, CCN 151330 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Adams County Memorial HospitalDecatur, IN, CCN 15Z330 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Adams WoodcrestDecatur, IN, CCN 155747 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Nov 22, 2005
Nov 22, 2005
Nov 22, 2005
Adams HeritageMonroeville, IN, CCN 155729 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 28, 2004
Apr 28, 2004
Apr 28, 2004
Woodland ManorElkhart, IN, CCN 155086 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 1, 2012
May 1, 2012
Warsaw MeadowsWarsaw, IN, CCN 155566 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
Colonial Nursing HomeCrown Point, IN, CCN 155733 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2012
Jun 1, 2012
Lutheran Life VillagesKendallville, IN, CCN 155744 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
Hawthorne Healthcare CenterIndianapolis, IN, CCN 155780 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
Lutheran Life VillagesFort Wayne, IN, CCN 155586 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
Kendallville ManorKendallville, IN, CCN 155482 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2012
Oct 1, 2012
Northwest Manor Health Care CenterIndianapolis, IN, CCN 155041 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
Cloverleaf of KnightsvilleKnightsville, IN, CCN 155542 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2012
Jul 1, 2012
Majestic Care of GoshenGoshen, IN, CCN 155689 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 19, 2013
Feb 19, 2013
Caroleton Healthcare CenterConnersville, IN, CCN 155387 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2013
May 1, 2013
Christian Care Retirement CommunityBluffton, IN, CCN 155701 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2013
Jan 1, 2025
Cathedral Health Care CenterJasper, IN, CCN 155720 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 2014
Nov 1, 2014
River Terrance Health Care CenterBluffton, IN, CCN 155726 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2014
Lutheran Life VillagesFort Wayne, IN, CCN 155800 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
The CedarsLeo, IN, CCN 155796 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2015
Jun 1, 2015
Chesterton ManorChesterton, IN, CCN 155246 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Aug 1, 2015
Aug 1, 2015
Yorktown ManorYorktown, IN, CCN 155238 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Aug 1, 2015
Aug 1, 2015
Sacred Heart VillageAvilla, IN, CCN 155512 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2015
Majestic Care of New HavenNew Haven, IN, CCN 155207 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 2015
Nov 1, 2015
Chalet Rehabilitation and Healthcare CenterIndianapolis, IN, CCN 155336 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 2015
Jul 1, 2013
Silver Memories Health CareVersailles, IN, CCN 155847 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 1, 2015
Oct 1, 2015
Saint Anne HomeFort Wayne, IN, CCN 155349 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 1, 2016
Sep 1, 2016
Holy Cross Rehabilitation and WellnessSouth Bend, IN, CCN 155506 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2017
Swiss VillageBerne, IN, CCN 155707 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2018
Oak VillageOaktown, IN, CCN 155714 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2017
Dec 1, 2017
Shady Nook Care CenterLawrenceburg, IN, CCN 155525 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 1, 2020
Sep 1, 2020
Envive of LawrenceburgLawrenceburg, IN, CCN 155061 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2021
Dec 1, 2021
The Waters of GeorgetownGeorgetown, IN, CCN 155770 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Envive of BerneBerne, IN, CCN 155473 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2021
Dec 1, 2021
Envive of HuntingtonHuntington, IN, CCN 155531 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Envive of AndersonAnderson, IN, CCN 155690 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Envive of IndianapolisIndianapolis, IN, CCN 155077 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2021
Envive of Hartford CityHartford City, IN, CCN 155699 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Envive of SullivanSullivan, IN, CCN 155468 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2022
Heritage Pointe of HuntingtonHuntington, IN, CCN 155692 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2022
Jun 1, 2022
Heritage Pointe of WarrenWarren, IN, CCN 155705 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2022
Jun 1, 2022
Heritage Pointe of Fort WayneFort Wayne, IN, CCN 155828 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2022
Jun 1, 2022
Envive of Beech GroveBeech Grove, IN, CCN 155859 Skilled nursing facility Direct Ownership Interest (100%) Oct 1, 2022
River Bend Nursing and RehbilitationEvansville, IN, CCN 155621 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 1, 2022
Sep 1, 2022
Manderley Health Care CenterOsgood, IN, CCN 155728 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2022
Dec 1, 2022
Envive of EvansvilleEvansville, IN, CCN 155716 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2023
Jul 1, 2023
Harrison Healthcare CenterCorydon, IN, CCN 155657 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2023
Dec 1, 2023
Rolling Hills Healthcare CenterNew Albany, IN, CCN 155488 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2023
Dec 1, 2023
Sellersburg Healthcare CenterSellersburg, IN, CCN 155659 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2023
Dec 1, 2023
Wedgewood Healthcare CenterClarksville, IN, CCN 155265 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Dec 1, 2023
Dec 1, 2023
Dec 31, 2025
Indian Creek Healthcare CenterCorydon, IN, CCN 155312 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 1, 2023
Dec 1, 2023
Chase CenterLogansport, IN, CCN 155710 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2024
Pilgrim ManorPlymouth, IN, CCN 155073 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2024
Jan 1, 2025
Envive of MuncieMuncie, IN, CCN 155549 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2025
Jan 1, 2025
Envive of LibertyLiberty, IN, CCN 155507 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2025
Jan 1, 2025
Adams Statcare and Behavioral HealthDecatur, IN, CCN 158537 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Decatur Family Medicine - Woodcrest ConnectionDecatur, IN, CCN 158536 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Adams Medical Group - High StreetDecatur, IN, CCN 158555 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
Adams Medical Group - GenevaGeneva, IN, CCN 158599 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2025

Facilities with the same owner 57

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 57

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1508375510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MERCER AVE",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467332303",
            "telephone_number": "260-724-2145",
            "fax_number": "260-728-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 TOWER DR",
            "city": "MONROE",
            "state": "IN",
            "postal_code": "467729362",
            "telephone_number": "260-692-6163",
            "fax_number": "260-728-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "SPRUNGER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CFO/TREASURER",
        "authorized_official_telephone_number": "260-724-2145"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, IN

Sources for this page

Verify at the official NPI Registry.