NPIMap

Organization Active NPI

Henry County Memorial Hospital

  • Family Medicine Physician
  • Muncie, IN
National Provider Identifier
1609235142
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HENRY COUNTY MEMORIAL HOSPITAL
Practice address
3521 W Purdue Ave
Muncie, IN 47304-6358
Phone
(765) 284-1000
Fax
(765) 284-1600
NPI assigned
Feb 12, 2016
Organization subpart
Yes
Parent organization
HENRY COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Mr. Brian Ring
Title
President/Ceo
Phone
(765) 521-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3521 W Purdue Ave
Muncie, IN 47304-6358

Mailing address

PO Box 652
New Castle, IN 47362-0652
Phone (765) 284-1000

Other names 1

  • Muncie Walk-In Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031121000221 IN Part B Supplier - Clinic/Group Practice 6002724085 Receives reassigned benefits from 175 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cambridge City, IN; Greenfield, IN; Knightstown, IN; Middletown, IN; Muncie, IN; New Castle, IN

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Henry Co Mem Hosp47 organizations share this tax ID, including this one
Part of
Henry Co Mem Hosp

Other organizations with this tax ID 46

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

View all 46

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1609235142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620652",
            "telephone_number": "765-284-1000",
            "fax_number": "765-284-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046358",
            "telephone_number": "765-284-1000",
            "fax_number": "765-284-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2016-02-12",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "765-521-1515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muncie Walk-In Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Muncie Walk-In Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.