NPIMap

Organization Active NPI

Jay County Hospital

Doing business as West Jay Clinic

  • Family Medicine Physician
  • Dunkirk, IN
National Provider Identifier
1548327307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
07-005029 Issued in IN
Legal business name
JAY COUNTY HOSPITAL
Doing business as
West Jay Clinic
Practice address
1150 S Main St
Dunkirk, IN 47336-9701
Phone
(765) 768-6065
Fax
(765) 768-6006
NPI assigned
Jan 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Don E Michael
Title
Cfo
Phone
(260) 726-9027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 07-005029 IN Primary

Addresses

Primary practice location

1150 S Main St
Dunkirk, IN 47336-9701

Mailing address

1150 S Main St
Dunkirk, IN 47336-9701
Phone (765) 768-6065

Other names 1

  • West Jay Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548327307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S MAIN ST",
            "city": "DUNKIRK",
            "state": "IN",
            "postal_code": "473369701",
            "telephone_number": "765-768-6065",
            "fax_number": "765-768-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S MAIN ST",
            "city": "DUNKIRK",
            "state": "IN",
            "postal_code": "473369701",
            "telephone_number": "765-768-6065",
            "fax_number": "765-768-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "260-726-9027"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "07-005029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Jay Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunkirk, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.