NPIMap

Organization Active NPI

Woodlawn Hospital

Doing business as Fulton County Medical Clinic

  • Rural Health Clinic/Center
  • Rochester, IN
National Provider Identifier
1982267613
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WOODLAWN HOSPITAL
Doing business as
Fulton County Medical Clinic
Practice address
1432 E 9TH St
Rochester, IN 46975-8931
Phone
(574) 223-4337
NPI assigned
Apr 18, 2019
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WOODLAWN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Carrie Bowers
Title
Cfo
Phone
(745) 224-1128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1432 E 9TH St
Rochester, IN 46975-8931

Mailing address

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 223-3141

Other names 1

  • Fulton County Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190703001821 IN Part A Provider - Rural Health Clinic 4082506993 Practice locations: Rochester, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982267613. Details of each certification follow.

Rural health clinic certification: CCN 158550

Legal name
WOODLAWN HOSPITAL
Doing business as
FULTON COUNTY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 13, 2020
Last certification
Apr 13, 2020
Ownership / control type
2B
Organization structure
OtherNon-profit
Enrollment address
1432 E 9TH St
Rochester, IN 46975-8931
Related CCNs
151313

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

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0358976Fulton County Medical Clinic1432 E 9TH St, Rochester, IN 46975Provider-performed microscopyJun 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Akron Medical26 organizations share this tax ID, including this one
Part of
Akron Medical

Other organizations with this tax ID 25

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

View all 25

Locations

1432 E 9th St
Rochester, IN 46975
Phone (574) 223-4337

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Alison M Heyde Individual Corporate DirectorBoard Member Sep 9, 2019
Alan Jay Fisher Individual Contracted Managing EmployeeCeo Jun 13, 2022 5%
Corporate OfficerCeo Jun 13, 2022
Brandon Miller Individual Corporate OfficerBoard Member Apr 7, 2025
Terri L Johnson Individual Corporate DirectorBoard Member Jun 13, 2022
Woodlawn Hospital Organization, Rochester, IN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2012 100%
Operational/Managerial Control Aug 1, 2013 100%
Harry Webb Individual Corporate OfficerBoard Member Oct 15, 2025
Gregory Lee Mellinger Individual Corporate DirectorBoard Member Jun 13, 2022
Glen W Bode Individual Corporate OfficerBoard Member/Vice Chairman Dec 9, 2022
Kendra Chudzynski Individual Corporate OfficerBoard Member Oct 15, 2024

Owners & managing parties with NPI records 16

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

  • Woodlawn Hospital

    dba Timbercrest Church of the Brethren Home

    • Skilled Nursing Facility
    • North Manchester, IN
    • NPI 1073557617

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital
    • Skilled Nursing Facility
    • South Bend, IN
    • NPI 1184604233

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Oak Grove Christian Retirement Village

    • Skilled Nursing Facility
    • Demotte, IN
    • NPI 1235113945

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Shafer Medical Center

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1265095988

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital
    • Critical Access Hospital
    • Rochester, IN
    • NPI 1265413405

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Grace Village Health Care Facility

    • Nursing Facility/Intermediate Care Facility
    • Winona Lake, IN
    • NPI 1285723734

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Golden Years Homestead

    • Skilled Nursing Facility
    • Fort Wayne, IN
    • NPI 1326180803

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Wesley Manor Health Center

    • Nursing Facility/Intermediate Care Facility
    • Frankfort, IN
    • NPI 1548241045

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital
    • Medicare Defined Swing Bed Hospital Unit
    • Rochester, IN
    • NPI 1548396534

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Argos Medical Center

    • Family Medicine Physician
    • Argos, IN
    • NPI 1639241227

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Woodlawn Medical Professionals

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1699338574

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Akron Medical Center

    • Rural Health Clinic/Center
    • Akron, IN
    • NPI 1710540695

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
View all 16

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Woodlawn HospitalRochester, IN, CCN 151313 Hospital Operational/Managerial Control Jan 8, 2010
Woodlawn HospitalRochester, IN, CCN 15Z313 Hospital Operational/Managerial Control Jan 8, 2010
Grace Village Health Care FacilityWinona Lake, IN, CCN 155635 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 May 1, 2013
May 28, 2025
Wesley Manor Health CenterFrankfort, IN, CCN 155658 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 8, 2013
Mar 12, 2025
Timbercrest Church of the Brethren HomeNorth Manchester, IN, CCN 155740 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014
Peabody Retirement CommunityNorth Manchester, IN, CCN 155655 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 31, 2014
Dec 17, 2025
Greencroft HealthcareGoshen, IN, CCN 155205 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2015
Hamilton GroveNew Carlisle, IN, CCN 155672 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 1, 2015
Dec 8, 2025
Southfield VillageSouth Bend, IN, CCN 155684 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2015
Oak Grove Christian Retirement VillageDemotte, IN, CCN 155667 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2016
Jan 1, 2016
Nov 17, 2025
Golden Years HomesteadFort Wayne, IN, CCN 155755 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2018
Woodlawn Medical ProfessionalsRochester, IN, CCN 158552 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013
Argos Medical CenterArgos, IN, CCN 158548 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013
Akron Medical CenterAkron, IN, CCN 158547 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Aug 1, 2013
Shafer Medical ClinicRochester, IN, CCN 158551 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2012
Jan 1, 2012

Owned or controlled facilities with NPI records 15

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Woodlawn Hospital

    dba Timbercrest Church of the Brethren Home

    • Skilled Nursing Facility
    • North Manchester, IN
    • NPI 1073557617

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital
    • Skilled Nursing Facility
    • South Bend, IN
    • NPI 1184604233

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Oak Grove Christian Retirement Village

    • Skilled Nursing Facility
    • Demotte, IN
    • NPI 1235113945

    5% Or Greater Direct Ownership Interest, 5% Or Greater Indirect Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Shafer Medical Center

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1265095988

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital
    • Critical Access Hospital
    • Rochester, IN
    • NPI 1265413405

    Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Grace Village Health Care Facility

    • Nursing Facility/Intermediate Care Facility
    • Winona Lake, IN
    • NPI 1285723734

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital

    dba Golden Years Homestead

    • Skilled Nursing Facility
    • Fort Wayne, IN
    • NPI 1326180803

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Woodlawn Hospital

    dba Wesley Manor Health Center

    • Nursing Facility/Intermediate Care Facility
    • Frankfort, IN
    • NPI 1548241045

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • Woodlawn Hospital
    • Medicare Defined Swing Bed Hospital Unit
    • Rochester, IN
    • NPI 1548396534

    Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Woodlawn Medical Professionals

    • Rural Health Clinic/Center
    • Rochester, IN
    • NPI 1699338574

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Akron Medical Center

    • Rural Health Clinic/Center
    • Akron, IN
    • NPI 1710540695

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Woodlawn Hospital

    dba Hamilton Grove

    • Nursing Facility/Intermediate Care Facility
    • New Carlisle, IN
    • NPI 1730174434

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
View all 15

Facilities with the same owner 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1982267613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 9TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758931",
            "telephone_number": "574-223-3141",
            "fax_number": "574-224-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 E 9TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758931",
            "telephone_number": "574-223-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOODLAWN HOSPITAL",
        "enumeration_date": "2019-04-18",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "745-224-1128"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fulton County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, IN

Sources for this page

Verify at the official NPI Registry.