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DEKALB MEMORIAL HOSPITAL INC NPI 1114127834


NPI Information

NPI: 1114127834
Provider Name: DEKALB MEMORIAL HOSPITAL, INC

Doing Business As: DEKALB HEALTH MEDICAL GROUP

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1314 E 7TH ST
SUITE 204
AUBURN, IN
ZIP 46706
Phone: (260) 925-3500
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DEKALB MEMORIAL HOSPITAL, INC is a pediatrics in Auburn, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DEKALB MEMORIAL HOSPITAL, INC NPI is 1114127834. 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:

1314 E 7TH ST
SUITE 204
AUBURN, IN
ZIP 46706-533
Phone: (260) 925-3500
Fax: (260) 925-3195

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 7/20/2007 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 License Number License State Primary
1208000000XPediatricsYes

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
1191560MEDICARE PININDIANA
2100104110FMEDICAIDINDIANA

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

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