WASHINGTON COUNTY MEMORIAL HOSPITAL
NPI 1124062419
General Acute Care Hospital - Critical Access in Salem, IN
NPI Status: Active since June 16, 2006
Contact Information
911 N. SHELBY ST.
SALEM, IN
ZIP 47167
Phone: (812) 883-5881
Fax: (812) 883-8557
- Organization
- General Acute Care Hospital
- Critical Access
- CLIA Number: 15D0673235
- CLIA Cert. Type: Other
- CLIA Exp. Date: 08-31-2026
About WASHINGTON COUNTY MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Washington County Memorial Hospital, a provider established in Salem, Indiana operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1124062419 assigned on June 2006. The practitioner's primary taxonomy code is 282NC0060X with license number 07-005087-1 (IN). The provider is registered as an organization and their NPI record was last updated 17 years ago. Washington County Memorial Hospital operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Joe Roche (Ceo)
- NPI
- 1124062419
- Provider Name
- WASHINGTON COUNTY MEMORIAL HOSPITAL
- Entity Type
- Organization
- Location Address
- 911 N. SHELBY ST. SALEM, IN 47167
- Location Phone
- (812) 883-5881
- Location Fax
- (812) 883-8557
- Mailing Address
- 911 N. SHELBY ST. SALEM, IN 47167
- Mailing Phone
- (812) 883-5881
- Mailing Fax
- (812) 883-8557
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-16-2006
- Last Update Date
- 07-22-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
- License No.
- 07-005087-1
- License State
- IN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 2 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 5 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 6 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 7 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 8 | 275N00000X | Hospital Units | Medicare Defined Swing Bed Unit | |
| 9 | 282NC0060X | Hospitals | General Acute Care Hospital | 0050871 (IN) |
| 10 | 3416L0300X | Transportation Services | Ambulance | |
| 11 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000054337 | OTHER (01) | IN | BLUE CROSS PROVIDER # |
| 030969400 | OTHER (01) | IN | FEDERAL BLACK LUNG |
| 200009980F | MEDICAID (05) | IN | |
| 200009980B | MEDICAID (05) | IN | |
| 15Z314 | MEDICARE OSCAR/CERTIFICATION (06) | IN | |
| 151314 | MEDICARE PIN (08) | ||
| 940950 | OTHER (01) | IN | MEDICARE PART B |
| 100367960A | MEDICAID (05) | IN | |
| 200009980G | MEDICAID (05) | IN | |
| 200009980A | MEDICAID (05) | IN | |
| 15M314 | MEDICARE OSCAR/CERTIFICATION (06) | IN | |
| 100269720A | MEDICAID (05) | IN | |
| 200009980E | MEDICAID (05) | IN | |
| 151314 | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | MEDICARE PROVIDER # |
| 100269720 | MEDICAID (05) | IN | |
| 200009980C | MEDICAID (05) | IN | |
| 200009980D | MEDICAID (05) | IN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D0673235
- Facility Type
- Other
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- LISA MORROW
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Washington County Memorial Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124062419, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124062419, enumerated as an "organization" on June 16, 2006.
The provider is located at 911 N. SHELBY ST. SALEM, IN 47167 and the phone number is (812) 883-5881.
General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
