Dekalb Health Medical Group

LBN: Dekalb Memorial Hospital, Inc
Dekalb Health Medical Group is an health care organization with primary practice located at 1310 E 7Th St Suite G, Auburn IN 46706-2534. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Dekalb Memorial Hospital, Inc can be contacted via phone (260) 920-2000, or through Polkow, Craig via phone (260) 925-4600.

Contact Information

Primary practice address
1310 E 7Th St Suite G Auburn IN 46706-2534
Phone: (260) 920-2000
Fax: (260) 920-2005
Website:
Map and Directions
Authorized official contact:
Name: Polkow, Craig
Phone: (260) 925-4600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1073886560
LBN Legal business name Dekalb Memorial Hospital, Inc
DBA Doing business as Dekalb Health Medical Group
Authorized official Polkow, Craig
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2012
Last updated Sep 13th, 2016 - about 9 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 1073886560 NPPES
Indiana MEDICAID 100104110I

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