- Enrollment id
- O20260506002206
- Enrollment state
- IN
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1407847361
- Multiple npi flag
- N
- Ccn
- 155704
- Associate id
- 0941198253
- Organization name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Doing business as name
- WALDRON REHABILITATION AND HEALTHCARE CENTER
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- WALDRON REHABILITATION AND HEALTHCARE CENTER
- Affiliation entity name
- ADAMS COUNTY MEMORIAL HOSPITAL
- Affiliation entity id
- 10
- Address line 1
- 505 N MAIN ST
- City
- WALDRON
- State
- IN
- Zip code
- 461829791