Dekalb Memorial Hospital, Inc
Organization Active NPI Family Medicine Physician · Garrett, IN
NPI 1508937376 · NPPES record last updated Jan 12, 2012
Key facts
- NPI
- 1508937376
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- DEKALB MEMORIAL HOSPITAL, INC
- Practice address
- 128 N Randolph St
Garrett, IN 46738-1138 - Phone
- (260) 357-6557
- Fax
- (260) 357-0373
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Penny Lynn Griffin, CPC
- Title
- Billing Collection Manager
- Phone
- (260) 920-2794
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
128 N Randolph St
Garrett, IN 46738-1138
Mailing address
PO Box 623
Auburn, IN 46706-0623
Phone (260) 357-6557
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100104110E | Medicaid | IN | |
| CC4531 | Other | IN | RAILROAD MEDICARE |
Other names
- DEKALB HEALTH MEDICAL GROUP-GARRETT
Other providers in Garrett, IN
- Raya Booth
- Linda Marie Brezausek
- Jacob Daniel Clendenen
- Jane Ellen Dannhausen
- Audra Renae Deardorf
- Dekalb Memorial Pharmacare LLC
- Element Care Group
- Garrett Family Dentistry LLC
- Garrett Pharmacare, LLC
- Garrett-Keyser-Butler Community School District
All providers in Garrett, IN · Family Medicine Physician 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 12, 2012. 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.