NPIMap

Organization Active NPI

Union Hospital Clinton

  • Certified Registered Nurse Anesthetist
  • Clinton, IN
National Provider Identifier
1528097144
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
UNION HOSPITAL CLINTON
Practice address
801 S Main St
Clinton, IN 47842-2261
Phone
(765) 832-1234
NPI assigned
Jul 3, 2006
Organization subpart
Yes
Parent organization
UNION HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Kathy Pallutch
Title
Director
Phone
(812) 238-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

801 S Main St
Clinton, IN 47842-2261

Mailing address

P.O. Box 2505
Indianapolis, IN 46206-2505
Phone (812) 238-7783

Other identifiers 1

IdentifierTypeStateIssuer
100268180MedicaidIN

Other names 1

  • Union Hospital Clinton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bala C Rangaswami MD29 organizations share this tax ID, including this one
Part of
Bala C Rangaswami MD

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1528097144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2505",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062505",
            "telephone_number": "812-238-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422261",
            "telephone_number": "765-832-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL CLINTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION HOSPITAL, INC.",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "PALLUTCH",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-238-7000"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Hospital Clinton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.