NPIMap

Organization Active NPI

Board of Trustees of Howard Community Hospital

Doing business as Howard Regional Health System - Internal Medicine

  • Internal Medicine Physician
  • Kokomo, IN
National Provider Identifier
1588684799
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Doing business as
Howard Regional Health System - Internal Medicine
Practice address
806 S Berkley Rd
Kokomo, IN 46901-5110
Phone
(765) 864-5750
Fax
(765) 864-5751
NPI assigned
Jul 20, 2006
Last updated
Aug 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Mr. Thomas M Cook
Title
Cfo
Phone
(765) 453-7189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

806 S Berkley Rd
Kokomo, IN 46901-5110

Mailing address

PO Box 822
Indianapolis, IN 46206-0822
Phone (765) 864-5750

Other identifiers 1

IdentifierTypeStateIssuer
200011260FMedicaidIN

Other names 1

  • Howard Regional Health System - Internal Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1588684799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462060822",
            "telephone_number": "765-864-5750",
            "fax_number": "765-864-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S BERKLEY RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015110",
            "telephone_number": "765-864-5750",
            "fax_number": "765-864-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "765-453-7189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200011260F",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Regional Health System - Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.