NPIMap

Organization Active NPI

Dunn Memorial Hospital

  • Primary Care Clinic/Center
  • Bedford, IN
National Provider Identifier
1780737452
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DUNN MEMORIAL HOSPITAL
Practice address
2415 Mitchell Rd
Bedford, IN 47421-4731
Phone
(812) 279-6222
Fax
(812) 277-0418
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Jo A Roberts
Title
Director Clinics
Phone
(812) 276-1305

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 070047791 IN
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2415 Mitchell Rd
Bedford, IN 47421-4731

Mailing address

2415 Mitchell Rd
Bedford, IN 47421-4731
Phone (812) 279-6222

Other identifiers 3

IdentifierTypeStateIssuer
100166830MedicaidIN
231610OtherINMEDICARE
100166830BMedicaidIN

Other names 1

  • Community Health & Wellness Center 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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1780737452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MITCHELL RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214731",
            "telephone_number": "812-279-6222",
            "fax_number": "812-277-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MITCHELL RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214731",
            "telephone_number": "812-279-6222",
            "fax_number": "812-277-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR CLINICS",
        "authorized_official_telephone_number": "812-276-1305"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "070047791",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100166830",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "231610",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100166830B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 28, 2008; 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.