DEKALB HEALTH MEDICAL GROUP - NPI 1073886560 - General Practice in Auburn, IN

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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About Dekalb Health Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEKALB HEALTH MEDICAL GROUP (NPI 1073886560) is a healthcare organization registered as a general practice in Auburn, Indiana and active in the NPI registry since February 2012. The organization lists Craig Polkow, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073886560

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameDEKALB MEMORIAL HOSPITAL, INC

Location Address1310 E 7TH ST, SUITE GAuburn, IN 46706-2534

Mailing AddressPo Box 623Auburn, IN 46706-0623 · (260) 927-8105 · Fax (260) 927-8026

Phone(260) 920-2000

Fax(260) 920-2005

Organization SubpartNo

Authorized OfficialCraig PolkowCeo · (260) 925-4600

Enumeration DateFebruary 15, 2012

Last NPPES UpdateSeptember 13, 2016

✔ NPI 1073886560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1310 E 7TH ST, Auburn, IN 46706

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Other Names 1

Doing Business AsDekalb Health Medical Group

Other Identifiers 2

Medicaid100104110IIN

Medicare PIN191560IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP