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DEKALB HEALTH MEDICAL GROUP
NPI 1780117200
Nurse Practitioner - Family in Auburn, IN

Active since April 11, 2017
1061 SMALTZ WAY, AUBURN, IN 46706(260) 920-2501 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dekalb Health Medical Group NPPES

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

DEKALB HEALTH MEDICAL GROUP (NPI 1780117200) is a healthcare organization registered as a family in Auburn, Indiana and active in the NPI registry since April 2017. The organization lists Craig Polkow, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780117200
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDEKALB MEMORIAL HOSPITAL INC
Location Address1061 SMALTZ WAYAuburn, IN 46706-9599
Mailing AddressPo Box 623Auburn, IN 46706-0623
Phone(260) 920-2501
Organization SubpartNo
Authorized OfficialCraig PolkowCeo · (260) 920-2501
Enumeration DateApril 11, 2017
✔ NPI 1780117200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
1061 SMALTZ WAY, Auburn, IN 46706
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Other Names 1

Doing Business AsDekalb Health Medical Group

Other Identifiers 2

Medicare PIN191560
Medicaid100104110IN

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

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.

ALYSSA HALL MA, BCBA
Behavior Analyst
1061 SMALTZ WAY
AUBURN, IN 46706
Dekalb County (260) 255-3665
SHELBIE SWEET
Behavior Technician
1061 SMALTZ WAY
AUBURN, IN 46706
Dekalb County (260) 255-3665
SIERRAH COLBOURNE
Behavior Technician
1061 SMALTZ WAY
AUBURN, IN 46706
Dekalb County (260) 226-3450
ASHLYN GRACE HENDERSON
Behavior Technician
1061 SMALTZ WAY
AUBURN, IN 46706
Dekalb County (260) 255-3665
KAYLEE MARIE CASPER NP
Nurse Practitioner
1061 SMALTZ WAY
AUBURN, IN 46706
Dekalb County (260) 927-1756

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 Dekalb Memorial Hospital Inc's NPI number?

The NPI number for Dekalb Memorial Hospital Inc is 1780117200. It was assigned to this organization in the NPPES registry on April 11, 2017. The provider is doing business as Dekalb Health Medical Group.

Where is Dekalb Memorial Hospital Inc located?

Dekalb Memorial Hospital Inc is located at 1061 Smaltz Way, Auburn, IN 46706. The listed phone number is (260) 920-2501.

What is Dekalb Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Dekalb Memorial Hospital Inc was last updated on April 11, 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.