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IMH KENTLAND CLINIC
NPI 1467470906
Clinic/Center - Rural Health in Kentland, IN

Active since July 17, 2006
303 N 7TH ST, KENTLAND, IN 47951(219) 474-5464(219) 474-3603 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Imh Kentland Clinic NPPES

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

IMH KENTLAND CLINIC (NPI 1467470906) is a healthcare organization registered as a rural health in Kentland, Indiana and active in the NPI registry since July 2006. The organization lists Timothy L Smith, Coo, as its authorized official.

NPPES Registry Identity

NPI1467470906
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameIROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME
Location Address303 N 7TH STKentland, IN 47951-1379
Mailing Address303 N 7th StKentland, IN 47951-1379 · (219) 474-5464 · Fax (219) 474-3603
Phone(219) 474-5464
Fax(219) 474-3603
Organization SubpartNo
Authorized OfficialTimothy L SmithCoo · 81584327967
Enumeration DateJuly 17, 2006
Last NPPES UpdateJanuary 17, 2017
✔ NPI 1467470906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
303 N 7TH ST, Kentland, IN 47951
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Other Names 1

Doing Business AsImh Kentland Clinic

Other Identifiers 3

Medicaid=========007IL
Medicaid200133940AIN
Other0003815082IL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0917921

Imh - Kentland Clinic · Kentland, IN
Expired · Jul 28, 2026
CLIA Number15D0917921
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorCrisanto Reyes
Laboratory Phone(219) 474-5464
Laboratory LocationImh - Kentland Clinic303 N Seventh St, Kentland, IN 47951
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GONZALO T FLORIDO M.D.
Internal Medicine
303 N 7TH ST
KENTLAND, IN 47951
Newton County (219) 474-5464
MICHELLE STOYANOV MOORE PA-C
Physician Assistant
303 N 7TH ST
KENTLAND, IN 47951
Newton County (219) 474-5464
DEBORAH L MORGAN N.P.
Nurse Practitioner (Family)
303 N 7TH ST
KENTLAND, IN 47951
Newton County (219) 474-5464
MRS. JESSICA ST. JOHN
Nurse Practitioner (Family)
303 N 7TH ST
KENTLAND, IN 47951
Newton County (219) 474-5464
COLLEEN HENDERSON NP
Nurse Practitioner (Family)
303 N 7TH ST
KENTLAND, IN 47951
Newton County (219) 474-5464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iroquois Memorial Hospital And Resident Home's NPI number?

The NPI number for Iroquois Memorial Hospital And Resident Home is 1467470906. It was assigned to this organization in the NPPES registry on July 17, 2006. The provider is doing business as Imh Kentland Clinic.

Where is Iroquois Memorial Hospital And Resident Home located?

Iroquois Memorial Hospital And Resident Home is located at 303 N 7th St, Kentland, IN 47951. The listed phone number is (219) 474-5464.

What is Iroquois Memorial Hospital And Resident Home's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Iroquois Memorial Hospital And Resident Home accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Iroquois Memorial Hospital And Resident Home as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Iroquois Memorial Hospital And Resident Home was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.