HCMH Diversified Management Corp Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HCMH DIVERSIFIED MANAGEMENT CORP INC

Practice address

2200 Forest Ridge Parkway
Suite 300
New Castle, IN 47362-2943

Phone

(765) 521-1366

Fax

(765) 521-1555

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul F Janssen

Title

President

Phone

(765) 521-1508

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HCMH Diversified Prof Lab Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Henry County Memorial Hospital

  dba Mulberry Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Mulberry, IN
  • NPI 1821334483

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1699852772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 653",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620653",
            "telephone_number": "765-521-1366",
            "fax_number": "765-521-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOREST RIDGE PARKWAY",
            "address_2": "SUITE 300",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622943",
            "telephone_number": "765-521-1366",
            "fax_number": "765-521-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCMH DIVERSIFIED MANAGEMENT CORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-521-1508",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000097943",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCMH Diversified Prof Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Damion M. Harris, M.D.
• Jordan Harrison
• HCMH Diversified Management Corp (HCMH Outpatient Neighborhood Pharmacy)
• HCMH Diversified Management Corp (Forest Ridge Neighborhood Pharmacy)
• HCMH Diversified Management Corp (Freds Neighborhood Pharmacy)
• Healing Place Therapy
• Healthcare Centers of Indiana, LLC (the Waters Of New Castle)
• David B Henley, M.D.
• Henry County Auditor (Henry County EMS)
• Henry County Auditor

• Clinical Medical Laboratory in New Castle, IN
• Providers in New Castle, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.