Envive Of Sullivan

LBN: Adams County Memorial Hospital
Envive Of Sullivan is an health care organization with primary practice located at 325 West Northwood Drive , Sullivan IN 47882-7515. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Adams County Memorial Hospital can be contacted via phone (812) 268-3351, or through Wheeler, Dane E via phone (260) 724-2145.

Contact Information

Primary practice address
325 West Northwood Drive Sullivan IN 47882-7515
Phone: (812) 268-3351
Fax: (812) 268-3765
Website:
Map and Directions
Authorized official contact:
Name: Wheeler, Dane E CPA
Phone: (260) 724-2145

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 110005251 Indiana

Profile Details

NPI number 1013193903
LBN Legal business name Adams County Memorial Hospital
DBA Doing business as Envive Of Sullivan
Authorized official Wheeler, Dane E CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2008
Last updated Aug 15th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013193903 NPPES
Indiana MEDICAID 100267010B

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