Organization Active NPI

Howard Community Hospital Board of

Doing business as Community OB/GYN Center

  • Obstetrics & Gynecology Physician
  • Kokomo, IN
National Provider Identifier
1588848246
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01031991 Issued in IN
Legal business name
HOWARD COMMUNITY HOSPITAL BOARD OF
Doing business as
Community OB/GYN Center
Practice address
3510 S Lafountain St
Kokomo, IN 46902-3803
Phone
(765) 864-8765
Fax
(765) 864-8762
NPI assigned
Dec 18, 2007
Last updated
Jun 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 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) 453-8179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 01031991 IN Primary

Addresses

Primary practice location

3510 S Lafountain St
Kokomo, IN 46902-3803

Mailing address

PO Box 96
Indianapolis, IN 46206-0096
Phone (765) 453-8040

Other identifiers 1

IdentifierTypeStateIssuer
200011260OMedicaidIN

Other names 1

  • Community OB/GYN Center Doing business as

National Provider Directory

National Provider Directory

Locations

2030 W Boulevard
Kokomo, IN 46902
Phone (765) 454-0200

3509 S Reed Rd
#J
Kokomo, IN 46902
Phone (765) 864-8765

Practitioners & affiliated clinicians

Practitioners 1

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": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1588848246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462060096",
            "telephone_number": "765-453-8040",
            "fax_number": "765-864-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 S LAFOUNTAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023803",
            "telephone_number": "765-864-8765",
            "fax_number": "765-864-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD COMMUNITY HOSPITAL BOARD OF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2009-06-11",
        "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": "765-453-8179",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01031991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200011260O",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community OB/GYN Center",
            "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 Jun 11, 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.