NPIMap

Organization Active NPI

Fayette Memorial Hospital Association Inc

Doing business as Fayette Regional Health System Hospice

  • Community Based Hospice Care Agency
  • Connersville, IN
National Provider Identifier
1598724718
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
050052991 Issued in IN
Legal business name
FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC
Doing business as
Fayette Regional Health System Hospice
Practice address
420 W 24TH St
Connersville, IN 47331-2947
Phone
(765) 827-7717
Fax
(765) 827-7783
NPI assigned
Mar 18, 2006
Last updated
Nov 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Mrs. Marilyn M Thompson
Title
Controller
Phone
(765) 827-7709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 050052991 IN Primary

Addresses

Primary practice location

420 W 24TH St
Connersville, IN 47331-2947

Mailing address

1941 Virginia Ave
Connersville, IN 47331-2833
Phone (765) 827-7717

Other identifiers 1

IdentifierTypeStateIssuer
200148780AMedicaidIN

Other names 1

  • Fayette Regional Health System Hospice 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": "1142640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1598724718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 VIRGINIA AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312833",
            "telephone_number": "765-827-7717",
            "fax_number": "765-827-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 24TH ST",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312947",
            "telephone_number": "765-827-7717",
            "fax_number": "765-827-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-18",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "765-827-7709",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "050052991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200148780A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayette Regional Health System Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.