NPIMap

Organization Active NPI

Dunn Memorial Hospital

  • Family Medicine Physician
  • Bedford, IN
National Provider Identifier
1740307149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01047062A Issued in IN
Legal business name
DUNN MEMORIAL HOSPITAL
Practice address
2409 Mitchell Rd
Bedford, IN 47421-4731
Phone
(812) 276-3377
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael W Cooper
Title
Chief Executive Officer
Phone
(812) 276-1209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01047062A IN Primary

Addresses

Primary practice location

2409 Mitchell Rd
Bedford, IN 47421-4731

Mailing address

1600 23Rd St
Bedford, IN 47421-4704
Phone (812) 276-5331

Other names 1

  • Joy R Bohon Other name

National Provider Directory

National Provider Directory
Tax ID family
Dunn Memorial Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740307149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 23RD ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214704",
            "telephone_number": "812-276-5331",
            "fax_number": "812-276-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 MITCHELL RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214731",
            "telephone_number": "812-276-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "812-276-1209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01047062A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joy R Bohon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.