Basic Information
| Provider Information | |||||||||
| NPI: | 1881726263 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADAMS MEMORIAL HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3710 HICKORY RD | ||||||||
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| City: | DECATUR | ||||||||
| State: | IN | ||||||||
| PostalCode: | 467339317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2607243498 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1100 MERCER AVE | ||||||||
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| City: | DECATUR | ||||||||
| State: | IN | ||||||||
| PostalCode: | 467332303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2607242145 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2007 | ||||||||
| LastUpdateDate: | 06/13/2008 | ||||||||
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| AuthorizedOfficialLastName: | KOBS | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | KEVIN | ||||||||
| AuthorizedOfficialTitleorPosition: | CRNA | ||||||||
| AuthorizedOfficialTelephone: | 2607242145 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CRNA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NR1301X | 281303888A | IN | Y | Hospitals | General Acute Care Hospital | Rural |
No ID Information.