NPIMap

Organization Active NPI

Rush Memorial Hospital

  • Skilled Nursing Facility
  • Vincennes, IN
National Provider Identifier
1982964433
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RUSH MEMORIAL HOSPITAL
Practice address
723 E Ramsey Rd
Vincennes, IN 47591-6128
Phone
(812) 882-8787
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Brad Smith
Title
President/Ceo
Phone
(765) 932-7513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

723 E Ramsey Rd
Vincennes, IN 47591-6128

Mailing address

1300 N Main St
Rushville, IN 46173-1116
Phone (765) 932-4111

Other names 1

  • Lodge of the Wabash Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120919000231 IN Part A Provider - Skilled Nursing Facility 7012802754 Practice locations: Vincennes, IN

Skilled nursing facility certification: CCN 155632

Legal name
RUSH MEMORIAL HOSPITAL
Doing business as
LODGE OF THE WABASH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1997
Last certification
Jan 14, 2025
Beds
117 (70 certified)
Ownership / control type
City/County
Multi-facility organization
Rush Memorial Hospital
Organization structure
OtherNon-profit
Enrollment address
723 E Ramsey Rd
Vincennes, IN 47591-6128
Nursing home name
LODGE OF THE WABASH
Affiliated entity
REAL PROPERTY HEALTH FACILITIES

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lodge of the WabashCCN 155632
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - City/county
Certified
Aug 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7042.0 residents per day on average
Chain
Real Property Health Facilities9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Rush Memorial Home Health10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Paul Wilkinson Individual Corporate DirectorBoard Member Jun 29, 2017
Dawn M Marsh Individual Corporate OfficerVP Apr 15, 1994 15%
Ronald Jarman Individual Corporate DirectorBoardmember Jan 1, 2021
Mark E Bacon Individual Corporate DirectorBoard Member Jun 29, 2017
Albert V Haworth Individual Corporate OfficerPresident/Ceo May 1, 2021 15%
Operational/Managerial ControlPresident/Ceo May 1, 2021 5%
Gregory E Matheis Individual W-2 Managing EmployeeAdministrator Nov 7, 2016 50%
Real Property Health Facilities Corp Organization, Las Vegas, NV Corporation Operational/Managerial Control Aug 1, 1989 100%
Gerald Mohr Individual Corporate DirectorBoardmember Jan 1, 2020
Bradley K Smith Individual Corporate OfficerPresident/Ceo Aug 1, 2012
W-2 Managing EmployeePresident/Ceo Aug 1, 2012
Ashley Kinder Individual Corporate OfficerVP of Finance-Delegated Official May 1, 2020
W-2 Managing EmployeeVP of Finance May 1, 2020
John M Byrne Individual Corporate DirectorChairperson Aug 1, 2012
Christina J Penn Individual Operational/Managerial Control Jun 1, 2015
Chad Smyth Individual Operational/Managerial Control Mar 30, 2015
OtherRegional Director Mar 30, 2015 20%
Rush Memorial Hospital Organization, Rushville, IN 5% Or Greater Direct Ownership Interest Aug 1, 2012 100%
Mark Spurlin Individual Corporate DirectorBoardmember Jan 1, 2021
Kipland J Burkett Individual Corporate DirectorSecretary Aug 1, 2012

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Rush Memorial HospitalRushville, IN, CCN 15Z304 Hospital Other Jun 12, 2019
Flatrock River LodgeRushville, IN, CCN 155630 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
White River LodgeBedford, IN, CCN 155631 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2012
Westminster Village Health & RehabTerre Haute, IN, CCN 155221 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017
RMH Healthcare Associates Rural Health ClinicRushville, IN, CCN 158539 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 24, 2019
RMH Milroy Primary CareMilroy, IN, CCN 158587 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 29, 2019

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 11

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

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1982964433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731116",
            "telephone_number": "765-932-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E RAMSEY RD",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475916128",
            "telephone_number": "812-882-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "765-932-7513"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lodge of the Wabash",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.