NPIMap

Organization Active NPI

Board of Trustees of Howard Community Hospital

Doing business as Community Care West

  • Clinic/Center
  • Russiaville, IN
National Provider Identifier
1902194491
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11-005007-1 Issued in IN
Legal business name
BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Doing business as
Community Care West
Practice address
101 S Liberty St
Russiaville, IN 46979-9125
Phone
(765) 453-0702
Fax
(765) 864-8711
NPI assigned
Jul 18, 2011
Last updated
Jul 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Mr. Theodore T. Brown
Title
Coo
Phone
(765) 453-8456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11-005007-1 IN Primary

Addresses

Primary practice location

101 S Liberty St
Russiaville, IN 46979-9125

Mailing address

3500 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-8456

Other names 1

  • Community Care West 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": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1902194491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S LAFOUNTAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023803",
            "telephone_number": "765-453-8456",
            "fax_number": "765-453-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S LIBERTY ST",
            "city": "RUSSIAVILLE",
            "state": "IN",
            "postal_code": "469799125",
            "telephone_number": "765-453-0702",
            "fax_number": "765-864-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "765-453-8456",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "11-005007-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russiaville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.