| Dekalb Memorial Hospital, Inc | |
|
128 N Randolph St Garrett IN 46738-1138 | |
| (260) 357-6557 | |
| (260) 357-0373 |
| Full Name | Dekalb Memorial Hospital, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 128 N Randolph St, Garrett, Indiana |
| Authorized Official Name and Position | Penny Lynn Griffin (BILLING COLLECTION MANAGER) |
| Authorized Official Contact | 2609202794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dekalb Memorial Hospital, Inc Po Box 623 Auburn IN 46706-0623 Ph: (260) 357-6557 | Dekalb Memorial Hospital, Inc 128 N Randolph St Garrett IN 46738-1138 Ph: (260) 357-6557 |
| NPI Number | 1508937376 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508937376 | NPI | - | NPPES |
| 100104110E | Medicaid | IN | |
| CC4531 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |