NPIMap

Organization Active NPI

Henry County Memorial Hospital

Doing business as Cambridge City Family Health Partners

  • Rural Health Clinic/Center
  • Cambridge City, IN
National Provider Identifier
1568869873
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HENRY COUNTY MEMORIAL HOSPITAL
Doing business as
Cambridge City Family Health Partners
Practice address
415 E Main St
Cambridge City, IN 47327-1323
Phone
(765) 478-4541
NPI assigned
Dec 2, 2014
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Mr. Brian Ring
Title
President, Ceo
Phone
(765) 521-1515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

415 E Main St
Cambridge City, IN 47327-1323

Mailing address

PO Box 485
New Castle, IN 47362-0485

Other names 1

  • Cambridge City Family Health Partners Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031121000221 IN Part B Supplier - Clinic/Group Practice 6002724085 Receives reassigned benefits from 175 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cambridge City, IN; Greenfield, IN; Knightstown, IN; Middletown, IN; Muncie, IN; New Castle, IN
O20200127001010 IN Part A Provider - Rural Health Clinic 6002724085 Practice locations: Cambridge City, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568869873. Details of each certification follow.

Rural health clinic certification: CCN 158556

Legal name
HENRY COUNTY MEMORIAL HOSPITAL
Doing business as
CAMBRIDGE CITY FAMILY HEALTH PARTNERS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 2, 2020
Last certification
Jun 2, 2020
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
415 E Main St
Cambridge City, IN 47327-1323
Related CCNs
150030

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2090401Cambridge City Family Health Partners415 East Main Street, Cambridge City, IN 47327Provider-performed microscopyFeb 9, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carissa D Fuller Individual W-2 Managing EmployeeCredentialing Coordinator Feb 17, 2020
Brian Ring Individual Corporate OfficerPresident, Ceo Aug 1, 2022
Corporate DirectorPresident, Ceo Aug 1, 2022
Henry County Memorial Hospital Organization, New Castle, IN Non-profit 5% Or Greater Direct Ownership Interest Feb 17, 2020 100%
Corrine E Morris Individual Corporate OfficerRegulatory Director Feb 17, 2020
Corporate DirectorRegulatory Director Feb 17, 2020

All facility ownership & control disclosures 39

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension St Vincent Heart CenterCarmel, IN, CCN 150153 Hospital Other (1%) Jul 1, 2017
Willows of RichmondRichmond, IN, CCN 155228 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Willows of New CastleNew Castle, IN, CCN 155089 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Mulberry Health & Rehabilitation CenterMulberry, IN, CCN 155600 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2013
Hickory Creek at CrawfordsvilleCrawfordsville, IN, CCN 155419 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
May 7, 2025
Hickory Creek at FranklinFranklin, IN, CCN 155442 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
Apr 27, 2025
Hickory Creek at PeruPeru, IN, CCN 155406 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
Apr 27, 2025
Hickory Creek at ScottsburgScottsburg, IN, CCN 155417 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
Apr 29, 2025
Hickory Creek at New CastleNew Castle, IN, CCN 155459 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
May 7, 2025
The Waters of MuncieMuncie, IN, CCN 155443 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 19, 2013
Hickory Creek at GreensburgGreensburg, IN, CCN 155353 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Hickory Creek at MadisonMadison, IN, CCN 155427 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
Apr 27, 2025
Hickory Creek at ColumbusColumbus, IN, CCN 155424 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
May 7, 2025
Hickory Creek at ConnersvilleConnersville, IN, CCN 155434 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2013
Hickory Creek at HuntingtonHuntington, IN, CCN 155543 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 1, 2013
May 7, 2025
Bethel ManorEvansville, IN, CCN 155607 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013
Clinton House Rehabilitation and Healthcare CenterFrankfort, IN, CCN 155295 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jul 1, 2014
Jun 3, 2025
Alpha Home-a Waters CommunityIndianapolis, IN, CCN 155717 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 4, 2014
Lakeland Rehab and Healthcare CenterAngola, IN, CCN 155596 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 4, 2014
University Park Rehabilitation and Healthcare CenterFort Wayne, IN, CCN 155567 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 4, 2014
Aspen Place Health CampusGreensburg, IN, CCN 155797 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Silver Oaks Health CampusColumbus, IN, CCN 155693 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Glen Oaks Health CampusNew Castle, IN, CCN 155759 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Forest Park Health CampusRichmond, IN, CCN 155762 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
The Springs of RichmondRichmond, IN, CCN 155843 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2019
The Waters of New CastleNew Castle, IN, CCN 155304 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020
Markle Health & RehabilitationMarkle, IN, CCN 155673 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Feb 1, 2022
May 7, 2025
Heritage House Rehabilitation & Health Care CenterConnersville, IN, CCN 155332 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2022
Apr 27, 2025
Stonebrooke Rehabilitation CenterNew Castle, IN, CCN 155160 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2023
May 7, 2025
Bethany VillageIndianapolis, IN, CCN 155237 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2023
Apr 28, 2025
Good Samaritan Home & Rehab CenterOakland City, IN, CCN 155561 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jun 1, 2023
Apr 29, 2025
Evansville Protestant HomeEvansville, IN, CCN 155768 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2024
Fairway VillageIndianapolis, IN, CCN 155741 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2024
HCMH Home CareNew Castle, IN, CCN 157430 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
Henry County Memorial Hospital HospiceNew Castle, IN, CCN 151564 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
New Castle PediatricsNew Castle, IN, CCN 153863 Rural health clinic 5% Or Greater Direct Ownership Interest Aug 2, 2003
New Castle Family and Internal MedicineNew Castle, IN, CCN 158520 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2011
New Castle Family & Internal Medicine at Northfield ParkNew Castle, IN, CCN 158525 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 28, 2017
Middletown Family Health PartnersMiddletown, IN, CCN 158589 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 4, 2023

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Practitioners 7

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": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1568869873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E MAIN ST",
            "city": "CAMBRIDGE CITY",
            "state": "IN",
            "postal_code": "473271323",
            "telephone_number": "765-478-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "765-521-1515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge City Family Health Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cambridge City Family Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge City, IN

Sources for this page

Verify at the official NPI Registry.