St. Clare Medical Center
Organization Active NPI Skilled Nursing Facility · Crawfordsville, IN
NPI 1508960535 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508960535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ST. CLARE MEDICAL CENTER
- Practice address
- 1710 Lafayette Rd
Crawfordsville, IN 47933-1033 - Phone
- (765) 362-2800
- NPI assigned
- Sep 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeffrey C Zeh
- Title
- Executive Director
- Phone
- (765) 362-3100
Owners & managing parties with NPI records 3
-
Hilton M Hudson II, M.D.
Other NPIs on the same Medicare enrollment 1
Member of 1
Related certifications (CCN) 1
Practitioners 3
-
Gwyndolen Morson, NP
-
Merrill Ritter, MD
Affiliated clinicians 227
-
Daniel B Abbott, M.D.
-
Heather Abbott, NP
-
Ramesh Adhikari, M.D.
-
Jeremy P Adler, MD
-
Navid Ahsani, DO
-
Olusina Akande, MD, MBA
-
Mazen Alakhras, MD
-
Costantine Albany, M.D.
-
Bassel Artin, M.D.
-
Jacob Babu, MD
-
Saira Bano, M.D.
-
Aimee Elizabeth Barnett, N.P.
-
Eva Bartaula, MD
-
Jamie M Barton, NURSE PRACTITIONER
-
John T Bauman, MD
-
Jared Bell, D.O.
-
Brian C Bigelow, MD
-
Brigitta Bittner, MD
Medicare Care Compare: Hospital
- Listed as
- Franciscan Health Crawfordsville
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Hospital certification: CCN 150022
- Legal name
- FRANCISCAN HEALTH CRAWFORDSVILLE
- Doing business as
- FRANCISCAN HEALTH CRAWFORDSVILLE
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- May 6, 2004
- Beds
- 103
- Ownership / control type
- Church
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1710 Lafayette Rd
Crawfordsville, IN 47933-1033 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Ann K Magiera |
Corporate Director | Jan 1, 2007 | |
| Madonna Rougeau |
Corporate Director | Jan 1, 2007 | |
| Kenneth Herlin |
Corporate Director | Jan 1, 2014 | |
| Marilyn Oliver |
Corporate Director | Jan 1, 2007 | |
| Kevin D Leahy |
Corporate Director | Jan 1, 2007 | |
| Anna F. Hoefer |
Corporate Director | Aug 15, 2023 | |
| Kathleen Goeppinger |
Corporate Director | Jan 1, 2007 | |
| Franciscan Alliance Inc |
5% Or Greater Direct Ownership Interest | Jan 1, 2007 | 100% |
| Margaret Mary Mitchel |
Corporate Director | Aug 15, 2023 | |
| Ernest Iannotta |
Corporate Director | Jan 1, 2012 | |
| Lethia M Leveille |
Corporate Director | Jan 1, 2013 | |
| Pamela J Shultz |
Corporate Officer | Aug 15, 2023 | |
| Marie Morgan |
Corporate Director | Aug 15, 2023 | |
| Catherine C Nielsen |
Corporate Director |
Oct 6, 2014 | |
| Terrence Klein |
W-2 Managing Employee | Oct 1, 2013 | |
| Terrance E Wilson |
Corporate Officer | Jul 1, 2013 | |
| Alan Gillespie |
Corporate Director | Dec 27, 2021 | |
| Hilton Hudson |
Corporate Director | Dec 27, 2021 | |
| Marlene Shapley |
Corporate Director | Jan 1, 2007 | |
| Jason Geddes |
W-2 Managing Employee | Jun 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060119000049 | IN | Part a Provider - Hospital | 0840276796 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crawfordsville, IN |
National Provider Directory
Locations
1706 Lafayette Rd
Crawfordsville, IN 47933
Phone (765) 361-3000
1630 Lafayette Rd
Crawfordsville, IN 47933
Phone (765) 359-2230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | IN | Yes |
Addresses
Primary practice location
1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Mailing address
1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 362-2800
Other providers in Crawfordsville, IN
- St Clare Health Network
- St Clare Health Network
- St Clare Health Network
- St Clare Health Network
- St Clare Medical Center
- St. Clare Medical Center
- St. Vincent Medical Group, Inc.
- Brandon Joseph Stafford
- Tricia L Stanley
- Statewide Transfer Ambulance and Rescue, Inc.
All providers in Crawfordsville, IN · Skilled Nursing Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.