NPIMap

Organization Active NPI

Fayette Memorial Hospital Association Inc.

  • General Acute Care Hospital
  • Connersville, IN
National Provider Identifier
1508825720
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
050050591 Issued in IN
Legal business name
FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC.
Practice address
1941 Virginia Ave
Connersville, IN 47331-2833
Phone
(765) 825-5131
Fax
(765) 827-7733
NPI assigned
Mar 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Mr. Randy White
Title
Ceo
Phone
(765) 825-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 050050591 IN Primary

Addresses

Primary practice location

1941 Virginia Ave
Connersville, IN 47331-2833

Mailing address

1941 Virginia Avenue
Connersville, IN 47331
Phone (765) 825-5131

Other identifiers 2

IdentifierTypeStateIssuer
100268210AMedicaidIN
150064OtherINPTAN

National Provider Directory

National Provider Directory

Locations

18 W 10th St
Brookville, IN 47012
Phone (765) 647-5407

2004 Indiana Ave
Connersville, IN 47331
Phone (317) 827-0861

807 S State Road 3
Rushville, IN 46173
Phone (765) 932-1371

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1508825720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 VIRGINIA AVENUE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "47331",
            "telephone_number": "765-825-5131",
            "fax_number": "765-827-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 VIRGINIA AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312833",
            "telephone_number": "765-825-5131",
            "fax_number": "765-827-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-18",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-825-5131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "050050591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268210A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "150064",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.