NPIMap

Organization Active NPI

Community Howard Regional Health, Inc

  • General Acute Care Hospital
  • Kokomo, IN
National Provider Identifier
1902878994
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
060050071 Issued in IN
Legal business name
COMMUNITY HOWARD REGIONAL HEALTH, INC
Practice address
3500 S Lafountain St
Kokomo, IN 46902-3803
Phone
(765) 453-0702
Fax
(765) 453-8087
NPI assigned
Feb 3, 2006
Last updated
Feb 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Elizabeth Shirene Tharp
Title
Ceo
Phone
(765) 298-5125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 060050071 IN Primary
Land Ambulance 3416L0300X IN

Addresses

Primary practice location

3500 S Lafountain St
Kokomo, IN 46902-3803

Mailing address

3500 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-0702

Other identifiers 3

IdentifierTypeStateIssuer
100136240DMedicaidIN
201093730MedicaidIN
201093040MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120924000399 IN Part A Provider - Hospital 5890769988 Practice locations: Kokomo, IN; Tipton, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902878994. Details of each certification follow.

Hospital certification: CCN 150007

Legal name
COMMUNITY HOWARD REGIONAL HEALTH INC
Doing business as
COMMUNITY HOWARD REGIONAL HEALTH INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 13, 2016
Beds
162
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2012 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 31, 1992 in IN
Enrollment address
3500 S Lafountain St
Kokomo, IN 46902-3803
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Community Howard Regional Health Inc.CCN 150007 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

3522 S Lafountain St
Kokomo, IN 46902

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Sharon Reed Individual Corporate DirectorBoard Director Jan 1, 2022
Jason R Fahrlander Individual Corporate DirectorBoard Director Jan 1, 2022
Diane Cogdell Individual Corporate Director Jan 1, 2021
Rebecca Vent Individual Corporate DirectorBoard Director Jan 1, 2022
Bridget Whitmore Individual Corporate Director Jan 1, 2021
Community Health Network Inc Organization, Indianapolis, IN Non-profit Other Jul 1, 2012 100%
Benjamin Chiu Individual Corporate DirectorDirector Jul 1, 2012
Robert L Hayes Individual Corporate Director Jan 1, 2021
Bryan a Mills Individual Corporate OfficerPresident and Ceo Community Heal Jul 1, 2009
Corporate DirectorPresident and Ceo Community Heal Jul 1, 2009
Elizabeth Tharp Individual Corporate OfficerPresident Feb 10, 2022
Operational/Managerial ControlPresident Feb 10, 2022
Holly Millard Individual Corporate OfficerSenior VP Finance05/04/2018 May 4, 2018
Operational/Managerial ControlSenior VP Finance May 4, 2018
Karen McLean Individual Corporate DirectorBoard Director Jan 1, 2022

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 379

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

View all 379

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1902878994",
    "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": "765-453-0702",
            "fax_number": "765-453-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S LAFOUNTAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023803",
            "telephone_number": "765-453-0702",
            "fax_number": "765-453-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOWARD REGIONAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "THARP",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "SHIRENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-298-5125"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "060050071",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100136240D",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201093730",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201093040",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.