NPIMap

Organization Active NPI

Indiana University Health Jay, Inc.

  • Critical Access Hospital
  • Portland, IN
National Provider Identifier
1801315692
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
INDIANA UNIVERSITY HEALTH JAY, INC.
Practice address
500 W Votaw St
Portland, IN 47371-1322
Phone
(260) 726-7131
NPI assigned
Sep 13, 2017
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Jonathan Vanator
Title
Cfo
Phone
(765) 741-2891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

500 W Votaw St
Portland, IN 47371-1322

Mailing address

950 N Meridian St Ste 1200
Indianapolis, IN 46204-1011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180306000057 IN Part A Provider - Critical Access Hospital 1355602483 Practice locations: Portland, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801315692. Details of each certification follow.

Hospital certification: CCN 151320

Legal name
INDIANA UNIVERSITY HEALTH JAY INC
Doing business as
IU HEALTH JAY
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2004
Last certification
May 11, 2017
Beds
35
Ownership / control type
Local
Most recent change of ownership
Mar 1, 2018 (3 total)
Organization structure
OtherNon-profit
Enrollment address
500 W Votaw St
Portland, IN 47371-1322
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Indiana University Health Jay, Inc.CCN 151320 · All quality measures
Overall star rating
5 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Indiana University Health Jay Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
John Rhea Individual Corporate DirectorBoard of Directors Mar 18, 2021
Christina Schemenaur Individual Corporate OfficerCno/Coo Apr 25, 2022
Terry Bailey Individual Corporate DirectorBoard of Directors Mar 18, 2021
Dea Bell Individual Corporate DirectorBoard of Directors May 18, 2023
Liesel Delamater Individual Corporate OfficerCoo Feb 1, 2026
W-2 Managing EmployeeAd; Feb 1, 2026
Operational/Managerial ControlCoo Feb 1, 2026
Donald Engel Individual Corporate DirectorBoard of Directors May 16, 2024
Charles R Routh Individual Corporate DirectorBoard of Directors Mar 18, 2021
Indiana University Health Inc Organization, Indianapolis, IN Corporation, Non-profit Operational/Managerial Control Mar 1, 2018
Kevin Woodgett Individual Corporate DirectorBoard of Directors May 16, 2024
Patrick a Cleary Individual Corporate DirectorBoard of Directors Mar 18, 2021
Geoffrey S Mearns Individual Corporate DirectorBoard of Directors Mar 18, 2021
Wilbur Davis Individual Corporate DirectorBoard of Directors Mar 18, 2021
Derron Bishop Individual Corporate DirectorBoard of Directors Mar 18, 2021
Michelle a Altobella Individual Corporate OfficerSecretary Mar 1, 2018
Peter M Voss Individual Corporate DirectorBoard of Directors Mar 18, 2021
William W Hinkle Individual Corporate DirectorBoard of Directors Mar 1, 2018
Joan Victoria Castor Individual Corporate DirectorBoard of Directors Mar 18, 2021
Michael Fisher Individual Corporate DirectorBoard of Directors Mar 18, 2021
Daniel Borgenheimer Individual Corporate DirectorChairman Board of Directors Mar 18, 2021
Michael Craig Individual Corporate OfficerCfo Jul 1, 2024
Operational/Managerial ControlCfo Jul 1, 2024
Eric S Westergren Individual Corporate DirectorBoard of Directors May 15, 2025

Owners & managing parties with NPI records 24

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

View all 24

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Affiliated clinicians 228

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 228

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1801315692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N MERIDIAN ST STE 1200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W VOTAW ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711322",
            "telephone_number": "260-726-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH JAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "VANATOR",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "765-741-2891"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, IN

Sources for this page

Verify at the official NPI Registry.