NPIMap

Organization Active NPI

Rush Memorial Hospital

  • Skilled Nursing Facility
  • Bedford, IN
National Provider Identifier
1609136159
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RUSH MEMORIAL HOSPITAL
Practice address
3710 Kenny Simpson LN
Bedford, IN 47421-5632
Phone
(812) 275-7006
NPI assigned
May 17, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Brad Smith
Title
President/Ceo
Phone
(765) 932-7513

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 11

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

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

Care Compare: Nursing home

Medicare Care Compare
Listed as
White River LodgeCCN 155631
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - City/county
Certified
Aug 13, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7434.4 residents per day on average
Chain
Real Property Health Facilities9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120918000136 IN Part A Provider - Skilled Nursing Facility 7012802754 Practice locations: Bedford, IN

Skilled nursing facility certification: CCN 155631

Legal name
RUSH MEMORIAL HOSPITAL
Doing business as
WHITE RIVER LODGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 13, 1997
Last certification
Jun 2, 2025
Beds
84 (74 certified)
Ownership / control type
City/County
Multi-facility organization
Rush Memorial Hospital
Organization structure
OtherNon-profit
Enrollment address
3710 Kenny Simpson LN
Bedford, IN 47421-5632
Nursing home name
WHITE RIVER LODGE
Affiliated entity
REAL PROPERTY HEALTH FACILITIES

All disclosed owners & managing parties 16

Medicare enrollment files

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

NameRoleSinceShare
Paul Wilkinson Individual Corporate DirectorBoard Member Jun 29, 2017
Dawn M Marsh Individual Corporate OfficerVice President Apr 15, 1994
Ronald Jarman Individual Corporate DirectorBoardmember Jan 1, 2021
Mark E Bacon Individual Corporate DirectorBoard Member Jun 29, 2017
Albert V Haworth Individual Corporate OfficerPresident/Ceo May 1, 2021
Operational/Managerial ControlPresident/Ceo May 1, 2021
Real Property Health Facilities Corp Organization, Las Vegas, NV Corporation Operational/Managerial Control Aug 1, 1989
Gerald Mohr Individual Corporate DirectorBoardmember Jan 1, 2020
Bradley K Smith Individual Corporate OfficerPresident/Ceo Jun 29, 2017
W-2 Managing EmployeePresident/Ceo Jun 29, 2017
Ashley Kinder Individual Corporate OfficerVP of Finance - Delgated Officia May 1, 2020
W-2 Managing EmployeeVP of Finance May 1, 2020
Tangie S Jenkins Individual W-2 Managing EmployeeAdministrator Mar 21, 2022
John M Byrne Individual Corporate DirectorBoard Member - Vice Chairperson Jun 29, 2017
Christina J Penn Individual Operational/Managerial Control May 1, 2021
Chad Smyth Individual Operational/Managerial Control Mar 30, 2017
OtherRegional Director Mar 30, 2017
Rush Memorial Hospital Organization, Rushville, IN 5% Or Greater Direct Ownership Interest Aug 1, 2012 100%
Mark Spurlin Individual Corporate DirectorBoardmember Jan 1, 2021
Kipland J Burkett Individual Corporate DirectorBoard Member Jun 29, 2017

All facility ownership & control disclosures 6

Medicare enrollment files

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

FacilityTypeRoleSince
Rush Memorial HospitalRushville, IN, CCN 15Z304 Hospital Other Jun 12, 2019
Flatrock River LodgeRushville, IN, CCN 155630 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Lodge of the WabashVincennes, IN, CCN 155632 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Westminster Village Health & RehabTerre Haute, IN, CCN 155221 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
RMH Healthcare Associates Rural Health ClinicRushville, IN, CCN 158539 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 24, 2019
RMH Milroy Primary CareMilroy, IN, CCN 158587 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 29, 2019

National Provider Directory

National Provider Directory
Tax ID family
Rush Memorial Home Health10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3710 Kenny Simpson LN
Bedford, IN 47421-5632

Mailing address

1300 N Main St
Rushville, IN 46173-1116
Phone (765) 932-4111

Other names 1

NPPES NPI Registry
  • White River Lodge Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2012.

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1609136159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731116",
            "telephone_number": "765-932-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 KENNY SIMPSON LN",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215632",
            "telephone_number": "812-275-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "765-932-7513"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White River Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.