DEKALB MEMORIAL HOSPITAL INC NPI 1073886560

NPI Information

NPI: 1073886560
Provider Name: DEKALB MEMORIAL HOSPITAL, INC

Doing Business As: DEKALB HEALTH MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1310 E 7TH ST
SUITE G
AUBURN, IN
ZIP 46706
Phone: (260) 920-2000
Get Directions

DEKALB MEMORIAL HOSPITAL, INC is a general practice in Auburn, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DEKALB MEMORIAL HOSPITAL, INC NPI is 1073886560. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dekalb Health Medical Group.

The provider's business location address is:

1310 E 7TH ST
SUITE G
AUBURN, IN
ZIP 46706-534
Phone: (260) 920-2000
Fax: (260) 920-2005

The provider's authorized official is Craig Polkow .
The authorized official title is Ceo and has the following contact phone number (260) 925-4600.

The enumeration date for this NPI number is 2/15/2012 and was last updated on 9/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Y00000X	Otolaryngology		No
2	363LF0000X	Nurse Practitioner	Family	No
3	208D00000X	General Practice		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100104110I	MEDICAID	INDIANA
2	191560	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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