NPIMap

Organization Active NPI

Board of Trustees of Howard Community Hospital

  • Cardiovascular Disease Physician
  • Kokomo, IN
National Provider Identifier
1811199037
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Practice address
3611 S Reed Rd
Suite 106
Kokomo, IN 46902-3828
Phone
(765) 864-5725
Fax
(765) 864-5726
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Thomas M Cook
Title
Chief Financial Officer
Phone
(765) 453-8179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3611 S Reed Rd
Suite 106
Kokomo, IN 46902-3828

Mailing address

PO Box 1751
Indianapolis, IN 46206-1751
Phone (765) 864-5725

Other identifiers 1

IdentifierTypeStateIssuer
200011260HMedicaidIN

Other names 1

  • Howard Regional Health System - Soundos Moualla, MD Doing business as

National Provider Directory

National Provider Directory

Locations

3611 S Reed Rd
Ste 106
Kokomo, IN 46902
Phone (765) 453-8585

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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1811199037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1751",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061751",
            "telephone_number": "765-864-5725",
            "fax_number": "765-864-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 S REED RD",
            "address_2": "SUITE 106",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023828",
            "telephone_number": "765-864-5725",
            "fax_number": "765-864-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "765-453-8179"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200011260H",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Regional Health System - Soundos Moualla, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

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