Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareADAMS COUNTY MEMORIAL HOSPITAL
Assisted Living Facility
Fort Wayne, Indiana
Provider NPI: 1073554200
Organization Information:Organization Name: ADAMS COUNTY MEMORIAL HOSPITAL
Practice Location:
6701 SOUTH ANTHONY BOULEVARD FORT WAYNE, IN 46816 US
Tel: 260-447-0800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
6701 SOUTH ANTHONY BOULEVARD FORT WAYNE, IN 46816 US
Tel: 260-447-0800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | IN | 050002831 |
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ||
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IN | 050002831 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 201235720A | IN | 05 | |
| RCAP | 0220 | 01 | |
| 100275020 | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin