Waiver

LBN: Memorial Hospital
Waiver is an health care organization with primary practice located at 1101 Michigan Ave , Logansport IN 46947-1528. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Memorial Hospital can be contacted via phone (574) 753-1502, or through Mcvay, Tara via phone (574) 753-1385.

Contact Information

Primary practice address
1101 Michigan Ave Logansport IN 46947-1528
Phone: (574) 753-1502
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcvay, Tara
Phone: (574) 753-1385

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 050050661 Indiana

Profile Details

NPI number 1619947256
LBN Legal business name Memorial Hospital
DBA Doing business as Waiver
Authorized official Mcvay, Tara
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2006
Last updated Aug 22nd, 2023 - about last year

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 1619947256 NPPES
Indiana MEDICAID 200003910A

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