NPIMap

Organization Active NPI

Greene County General Hospital

Doing business as Serenity Spring Senior Living at Northwood

  • Non-emergency Medical Transport (VAN)
  • Jasper, IN
National Provider Identifier
1578734216
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GREENE COUNTY GENERAL HOSPITAL
Doing business as
Serenity Spring Senior Living at Northwood
Practice address
2515 Newton St
Jasper, IN 47546-1329
Phone
(812) 482-1722
Fax
(812) 634-2793
NPI assigned
Mar 21, 2008
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Brenda Reetz
Title
Ceo
Phone
(812) 847-5212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

2515 Newton St
Jasper, IN 47546-1329

Mailing address

1185 N 1000 W
Linton, IN 47441-5282

Other identifiers 1

IdentifierTypeStateIssuer
200816040AMedicaidIN

Other names 1

  • Serenity Spring Senior Living at Northwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greene County General9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

2515 Newton St
Jasper, IN 47546
Phone (812) 482-1722

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1578734216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 N 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 NEWTON ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461329",
            "telephone_number": "812-482-1722",
            "fax_number": "812-634-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "REETZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-847-5212"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200816040A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Spring Senior Living at Northwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.