AHA Annual Survey - Fiscal Year 2017
May 9, 2018 Status Report for State: IN Hospitals That Have Not Yet Logged In Organization Name Address City State Zip Contact Telephone Login Password Amg Specialty Hospital - Muncie 2401 West University Avenue, 8th Muncie IN 47303 Victor Galfano 765-751-5253 6420063 vg1744 Floor Adams Memorial Hospital 1100 Mercer Avenue Decatur IN 46733 JoEllen Eidam 260-724-2145 6420240 je402 Bloomington Meadows Hospital 3600 North Prow Road Bloomington IN 47404 Jean Scallon 812-331-8000 6420043 js8271 Brentwood Springs 4455 Roslin Road Newburgh IN 47630 Jessica Black 812-858-7200 6429156 jb5342 Cameron Memorial Community 416 East Maumee Street Angola IN 46703 Connie McCahill 260-665-2141 6420055 cm5599 Hospital Clark Memorial Hospital 1220 Missouri Avenue Jeffersonville IN 47130 Martin Padgett 812-282-6631 6420750 mp8184 Community Heart And Vascular 8075 North Shadeland Avenue Indianapolis IN 46250 Jason Fahrlander 317-621-8000 6420041 jf9251!! Hospital Community Hospital East 1500 North Ritter Avenue Indianapolis IN 46219 Scott Teffeteller 317-355-1411 6420605 st4630 Community Hospital North 7150 Clearvista Drive Indianapolis IN 46256 Kathleen Krusie 317-355-2469 6420023 kk1734 Community Hospital South 1402 East County Line Road South Indianapolis IN 46227 David Kiley 317-887-7000 6420728 dk3747 Community Howard Regional Health 3500 South Lafountain Street Kokomo IN 46902 Joseph Hooper 765-453-0702 6420775 jh3159 Community Howard Specialty Hospital 829 North Dixon Road Kokomo IN 46901 Clayton Clement 765-452-6700 6420002 cc6123 Community Mental Health Center 285 Bielby Road Lawrenceburg IN 47025 Tom Talbot 812-537-1302 6420288 tt550 Community Westview Hospital 3630 Guion Road Indianapolis IN 46222 David Williams 317-924-6661 6420640 dw1550!! Daviess Community Hospital 1314 East Walnut Street Washington IN 47501 Tracy Conroy 812-254-2760 6421460 tc3929 Dekalb Health 1316 East Seventh Street Auburn IN 46706 Craig Polkow 260-925-4600 6420085 cp7941 Doctors Neuromedical Hospital 411 South Whitlock Street Bremen IN 46506 Alan Fisher 574-546-3830 6420073 af7138! Doctors Neuropsychiatric Hospital 417 South Whitlock Street Bremen IN 46506 Christy Gilbert 574-546-0330 6429157 cg8295 And Research Institute Dukes Memorial Hospital 275 West 12th Street Peru IN 46970 Debra Close 765-472-8000 6421120 dc298 Dupont Hospital 2520 East Dupont Road Fort Wayne IN 46825 Lorenzo Suter 260-416-3000 6420033 ls8814 Evansville Psychiatric Children Center 3300 East Morgan Avenue Evansville IN 47715 Lottie Cook 812-477-6436 6429040 lc8737 Fairbanks 8102 Clearvista Parkway Indianapolis IN 46256 Barb Elliott 317-849-8222 6420609 be2472 Fayette Regional Health System 1941 Virginia Avenue Connersville IN 47331 Randall White 765-825-5131 6420210 rw3733 Four County Counseling Center 1015 Michigan Avenue Logansport IN 46947 C.J. Davis 574-722-5151 6420478 cd5538 Franciscan - Mooresville 1201 Hadley Road Mooresville IN 46158 Peter Murphy 317-831-1160 6421030 pm5646 Franciscan Health - Carmel 12188B North Meridian Street Carmel IN 46032 Stephen Wheatley 317-705-4500 6420477 sw2693 Franciscan Health - Indianapolis 8111 South Emerson Avenue Indianapolis IN 46237 James Callaghan 317-528-5000 6420029 jc6498 Franciscan Health - Michigan City 301 West Homer Street Michigan City IN 46360 Dean Mazzoni 219-879-8511 6420024 dm5693 Franciscan Health Dyer 24 Joliet Street Dyer IN 46311 Patrick Maloney 219-865-2141 6420250 pm6998 Franciscan Health Hammond 5454 Hohman Avenue Hammond IN 46320 Patrick Maloney 219-932-2300 6420007 pm6347 Franciscan Health Lafayette East 1701 South Creasy Lane Lafayette IN 47905 Terrance Wilson 765-502-4000 6420441 tw1521
Prepared by Health Forum, LLC Page 1 of 7 Wednesday, May 9, 2018 A subsidiary of the American Hospital Association AHA Annual Survey - Fiscal Year 2017
Status Report for State: IN
Franciscan Health Rensselear 1104 East Grace Street Rensselaer IN 47978 Terrance Wilson 219-866-5141 6421180 tw3777 Franciscan Healthcare - Munster 701 Superior Avenue Munster IN 46321 Patrick Maloney 219-924-1300 6420030 pm440 Franciscan St. Anthony Health - 1201 South Main Street Crown Point IN 46307 Barbara Anderson 219-738-2100 6420225 ba692 Crown Point Franciscan St. Elizabeth Health - 1710 Lafayette Road Crawfordsville IN 47933 Terrence Klein 765-362-2800 6420220 tk542 Crawfordsville Franciscan St. Elizabeth Health - 1501 Hartford Street Lafayette IN 47904 Terrance Wilson 765-423-6011 6420026 tw1292!! Lafayette Central Gibson General Hospital 1808 Sherman Drive Princeton IN 47670 Emmett Schuster 812-385-3401 6421170 es9973 Goshen Hospital 200 High Park Avenue Goshen IN 46526 Randal Christophel 574-533-2141 6420505 rc3754 Grant-Blackford Mental Health Center 505 North Wabash Avenue Marion IN 46952 Paul Kuczora 765-662-3971 6420289 pk215 Hamilton Center 620 Eighth Avenue Terre Haute IN 47804 Melvin Burks 812-231-8323 6421330 mb3373 Harrison County Hospital 1141 Hospital Drive N W Corydon IN 47112 Steven Taylor 812-738-4251 6420215 st080 Henry Community Health 1000 North 16th Street New Castle IN 47362 Paul Janssen 765-521-0890 6421080 pj221 Indiana University Health Morgan 2209 John R Wooden Drive Martinsville IN 46151 Doug Puckett 765-342-8441 6420960 dp394!! Hospital Jay County Hospital 500 West Votaw Street Portland IN 47371 David Hyatt 260-726-7131 6421160 dh4644 Kentuckiana Medical Center 4601 Medical Plaza Way Clarksville IN 47129 Paul Newsom 812-284-6100 6420066 pn2748 Kindred Hospital Indianapolis North 8060 Knue Road Indianapolis IN 46250 Nakia Tremble 317-813-8900 6420051 nt4465 Kindred Hospital Indianapolis South 607 Greenwood Springs Drive Greenwood IN 46143 Matthew Keppler 317-888-8155 6420013 mk6378 Kindred Hospital Northwest Indiana 5454 Hohman Avenue, 5th Floor Hammond IN 46320 Frank Solare 219-937-9900 6420054 fs8599 Kindred Hospital Of Northern Indiana 215 West Fourth Street, Suite 200 Mishawaka IN 46544 Lori Skora 574-252-2000 6420035 ls784 Kindred Hospital-Indianapolis 1700 West 10th Street Indianapolis IN 46222 Bryan Chatterton 317-636-4400 6420009 bc6625 King's Daughters' Health 1373 East State Road 62 Madison IN 47250 Carol Dozier 812-801-0800 6420910 cd7686 Larue D. Carter Memorial Hospital 2601 Cold Spring Road Indianapolis IN 46222 Robert Clover 317-941-4000 6420650 rc3910 Logansport State Hospital 1098 South State Road 25 Logansport IN 46947 Robert Clover 574-737-3633 6420875 rc1049 Madison Center And Hospital 403 East Madison Street South Bend IN 46617 Kenneth Davis 574-234-0061 6420038 kd4274!!!! Madison State Hospital 711 Green Road Madison IN 47250 Peggy Stephens 812-265-2611 6421100 ps2993 Major Hospital 150 West Washington Street Shelbyville IN 46176 John Horner 317-392-3211 6421270 jh1542 Meridian Health Services 240 North Tillotson Avenue Muncie IN 47304 Hank Milius 765-747-3281 6420479 hm9161 Michiana Behavioral Health Center 1800 North Oak Drive Plymouth IN 46563 Michael Perry 574-936-3784 6420014 mp27 Mishawaka Medical Center 5215 Holy Cross Parkway Mishawaka IN 46545 Chad Towner 574-335-5000 6421300 ct3897 Neuropsychiatric Hospital Of 6720 Parkdale Place Indianapolis IN 46254 Corey Simmons 317-744-9200 6420514 cs9693 Indianapolis Northeastern Center 1850 Wesley Road Auburn IN 46706 Jerry Hollister 260-927-0726 6429154 jh1477 Options Behavioral Health System 5602 Caito Drive Indianapolis IN 46226 Chris Rupert 317-544-4340 6420486 cr5917 Orthoindy Hospital 8400 Northwest Boulevard Indianapolis IN 46278 Stacie Vance 317-956-1000 6420058 sv6922
Prepared by Health Forum, LLC Page 2 of 7 Wednesday, May 9, 2018 A subsidiary of the American Hospital Association AHA Annual Survey - Fiscal Year 2017
Status Report for State: IN
Orthopaedic Hospital Of Lutheran 7952 West Jefferson Boulevard Fort Wayne IN 46804 Lorie Ailor 260-435-2999 6420196 la1357 Health Network Otis R. Bowen Center For Human 2621 East Jefferson Street Warsaw IN 46580 Kurt Carlson 574-267-7169 6420069 kc8441 Services Parkview Ortho Hospital 11130 Parkview Circle Drive Fort Wayne IN 46845 Julie Fleck 260-672-5000 6420045 jf3916 Parkview Hospital Randallia 2200 Randallia Drive Fort Wayne IN 46805 Sue Ehinger 260-373-4000 6420440 se2318!!!! Perry County Memorial Hospital 8885 State Road 237 Tell City IN 47586 Brian Herwig 812-547-7011 6421325 bh9675 Physicians' Medical Center 4023 Reas Lane New Albany IN 47150 Dennis Medley 812-206-7660 6420198 dm2918 Pinnacle Hospital 9301 Connecticut Drive Crown Point IN 46307 Haroon Naz 219-756-2100 6420072 hn3514 Plymouth Medical Center 1915 Lake Avenue Plymouth IN 46563 Christopher Karam 574-948-4000 6421150 ck5096 Porter Regional Hospital 85 East U. S. Highway 6 Valparaiso IN 46383 Stephen Lunn 219-983-8300 6421390 sl7596 Porter-Starke Services 601 Wall Street Valparaiso IN 46383 Rocco Schiralli 219-531-3500 6429155 rs9172 Putnam County Hospital 1542 Bloomington Street Greencastle IN 46135 Dennis Weatherford 765-653-5121 6420520 dw3673 Regency Hospital Of Northwest 4321 Fir Street, 4th Floor East Chicago IN 46312 Eleyce Winn 219-392-7799 6420042 ew3456 Indiana Regional Mental Health Center 8555 Taft Street Merrillville IN 46410 Robert Krumwied 219-769-4005 6420189 rk3713 Richmond State Hospital 498 NW 18th Street Richmond IN 47374 Warren Fournier 765-966-0511 6421200 wf2582 River Bend Hospital 2900 North River Road West Lafayette IN 47906 Stephanie Long 765-464-0400 6420815 sl427 Rivercrest Specialty Hospital 5985 E 200 S Knox IN 46534 Christy Gilbert 574-255-1400 6420074 cg6484 Riverside Hospital 533 North Niles Avenue South Bend IN 46617 Kenneth Davis 574-283-1104 6420039 kd9939!!!! Rush Memorial Hospital 1300 North Main Street Rushville IN 46173 Bradley Smith 765-932-4111 6421255 bs2899 Saint Catherine Regional Hospital 2200 Market Street Charlestown IN 47111 Merlyn Knapp 812-256-3301 6421272 mk9893!! Schneck Medical Center 411 West Tipton Street Seymour IN 47274 Warren Forgey 812-522-2349 6421260 wf4436 Scott Memorial Hospital 1415 North Gardner Street Scottsburg IN 47170 Michael Everett 812-752-3456 6421259 me2128 Select Specialty Hospital-Fort Wayne 700 Broadway, 7th Floor Fort Wayne IN 46802 Darrell Jones 260-425-3810 6420037 dj9822! Southern Indiana Rehabilitation 3104 Blackiston Boulevard New Albany IN 47150 William Boso 812-941-8300 6420012 wb5625 Hospital St. Joseph Hospital 700 Broadway Fort Wayne IN 46802 Vince Green 260-425-3000 6420450 vg3766 St. Vincent Carmel Hospital 13500 North Meridian Street Carmel IN 46032 Gary Fammartino 317-582-7000 6420175 gf4246 St. Vincent Clay Hospital 1206 East National Avenue Brazil IN 47834 Jerry Laue 812-442-2500 6420157 jl2291 St. Vincent Dunn Hospital 1600 23rd Street Bedford IN 47421 Matt Balla 812-275-3331 6420110 mb248 St. Vincent Fishers Hospital 13861 Olio Road Fishers IN 46037 Gary Fammartino 317-415-9000 6420482 gf7938 St. Vincent Indianapolis Hospital 2001 West 86th Street Indianapolis IN 46260 Joel Feldman 317-338-2345 6420715 jf488 St. Vincent Jennings Hospital 301 Henry Street North Vernon IN 47265 Christina Crank 812-352-4200 6421105 cc596 St. Vincent Medical Center Of 3700 Washington Avenue Evansville IN 47714 Daniel Parod 812-485-4000 6420027 dp8397 Evansville St. Vincent Seton Specialty Hospital 1501 Hartford Street Lafayette IN 47904 Peter Alexander 765-236-8900 6420057 pa5378!! St. Vincent Seton Specialty Hospital 8050 Township Line Road Indianapolis IN 46260 Joel Feldman 317-415-8500 6420075 jf5937
Prepared by Health Forum, LLC Page 3 of 7 Wednesday, May 9, 2018 A subsidiary of the American Hospital Association AHA Annual Survey - Fiscal Year 2017
Status Report for State: IN
St. Vincent Warrick Hospital 1116 Millis Avenue Boonville IN 47601 Kathy Hall 812-897-4800 6420155 kh3959 St. Vincent Williamsport Hospital 412 North Monroe Street Williamsport IN 47993 Jane Craigin 765-762-4000 6421480 jc83 Sullivan County Community Hospital 2200 North Section Street Sullivan IN 47882 Michelle Franklin 812-268-4311 6421310 mf5274 Sycamore Springs Hospital 833 Park East Boulevard Lafayette IN 47905 Zoe Frantz 765-743-4400 6429152 zf3066 Terre Haute Regional Hospital 3901 South Seventh Street Terre Haute IN 47802 Nathan Vooys 812-232-0021 6421360 nv499 The Heart Hospital At Deaconess 4007 Gateway Boulevard Newburgh IN 47630 Rebecca Malotte 812-842-4784 6420290 rm9357 Gateway Union Hospital 1606 North Seventh Street Terre Haute IN 47804 Steve Holman 812-238-7000 6421366 sh382 Union Hospital Clinton 801 South Main Street Clinton IN 47842 Terri Hill 765-832-1234 6420190 th752 Unity Medical & Surgical Hospital 4455 Edison Lakes Parkway Mishawaka IN 46545 John Day 574-968-0867 6420286 jd6424 Valle Vista Hospital 898 East Main Street Greenwood IN 46143 Sherri Jewett 317-887-1348 6420545 sj5346 Veterans Affairs Northern Indiana 2121 Lake Avenue Fort Wayne IN 46805 Michael Hershmann 260-426-5431 6420022 mh8026 Health Care System Vibra Hospital Of Fort Wayne 2200 Randallia Drive Fort Wayne IN 46805 Ryan Cassedy 260-399-2900 6420285 rc4572 Vibra Hospital Of Northwestern 9509 Georgia Street Crown Point IN 46307 Larry Deal 219-472-2200 6420287 ld5325 Indiana Wellstone Regional Hospital 2700 Vissing Park Road Jeffersonville IN 47130 Greg Stewart 812-284-8000 6420046 gs2035 Witham Health Services 2605 North Lebanon Street Lebanon IN 46052 Raymond Ingham 765-485-8000 6420860 ri2353 Woodlawn Hospital 1400 East Ninth Street Rochester IN 46975 John Alley 574-223-3141 6421220 ja3676 Logged In, Not Yet Started Organization Name Address City State Zip Contact Telephone Login Password Community Hospital 901 Macarthur Boulevard Munster IN 46321 Luis Molina 219-836-1600 6421050 lm9978 Community Hospital Of Anderson & 1515 North Madison Avenue Anderson IN 46011 Beth Tharp 765-298-4242 6420008 bt5263 Madison County Hind General Hospital 101 West 61st Avenue Hobart IN 46342 Raghu Nayak 219-947-3030 6420067 rn6383!! Johnson Memorial Hospital 1125 West Jefferson Street Franklin IN 46131 Larry Heydon 317-736-3300 6420465 lh6661 Lutheran Hospital Of Indiana 7950 West Jefferson Boulevard Fort Wayne IN 46804 Paula Autry 260-435-7001 6420420 pa7564 Margaret Mary Health 321 Mitchell Avenue Batesville IN 47006 Timothy Putnam 812-934-6624 6420100 tp415 St. Catherine Hospital 4321 Fir Street East Chicago IN 46312 Leo Correa 219-392-1700 6420260 lc458 In Progress, Errors Organization Name Address City State Zip Contact Telephone Login Password Baptist Health Floyd 1850 State Street New Albany IN 47150 Daniel Eichenberger 812-949-5500 6421045 de5948 Columbus Regional Hospital 2400 East 17th Street Columbus IN 47201 Jim Bickel 812-379-4441 6420200 jb511 Good Samaritan Hospital 520 South Seventh Street Vincennes IN 47591 Robert McLin 812-882-5220 6421410 rm9058 Hancock Regional Hospital 801 North State Street Greenfield IN 46140 Steven Long 317-462-5544 6420525 sl7282 Harsha Behavioral Center 1980 East Woodsmall Drive Terre Haute IN 47802 Roopam Harshawat 866-644-8880 6420291 rh9210
Prepared by Health Forum, LLC Page 4 of 7 Wednesday, May 9, 2018 A subsidiary of the American Hospital Association AHA Annual Survey - Fiscal Year 2017
Status Report for State: IN
Indiana University Health Arnett 5165 McCarty Lane Lafayette IN 47905 Donald Clayton 765-448-8000 6420076 dc7787 Hospital Indiana University Health Ball 2401 University Avenue Muncie IN 47303 Jeffrey Bird 765-747-3111 6421040 jb7268 Memorial Hospital Indiana University Health Bedford 2900 West 16th Street Bedford IN 47421 Bradford Dykes 812-275-1200 6424005 bd96100 Hospital Indiana University Health 601 West Second Street Bloomington IN 47403 Matthew Bailey 812-336-6821 6420130 mb5447 Bloomington Hospital Indiana University Health Frankfort 1300 South Jackson Street Frankfort IN 46041 Kelly Braverman 765-656-3000 6420460 kb6120 Indiana University Health North 11700 North Meridian Avenue Carmel IN 46032 Jonathan Goble 317-688-2000 6420059 jg7573 Hospital Indiana University Health Paoli 642 West Hospital Road Paoli IN 47454 Larry Bailey 812-723-2811 6421108 lb6697 Hospital Indiana University Health Tipton 1000 South Main Street Tipton IN 46072 Michael Harlowe 765-675-8500 6421370 mh8290 Hospital Indiana University Health University 550 University Boulevard Indianapolis IN 46202 Ryan Nagy 317-944-5000 6420020 rn3451 Hospital Indiana University Health West 1111 North Ronald Reagan Avon IN 46123 Doug Puckett 317-217-3000 6420047 dp8372 Hospital Parkway Indiana University Health White 720 South Sixth Street Monticello IN 47960 Mary Minier 574-583-7111 6421025 mm10080 Memorial Hospital La Porte Hospital 1007 Lincolnway La Porte IN 46350 Ashley Dickinson 219-326-1234 6420850 ad5892 Memorial Hospital Of South Bend 615 North Michigan Street South Bend IN 46601 Larry Tracy 574-647-1000 6421290 lt575 Monroe Hospital 4011 South Monroe Medical Park Bloomington IN 47424 Nancy Bakewell 812-825-1111 6420068 nb9830 Boulevard Oaklawn Psychiatric Center 330 Lakeview Drive Goshen IN 46528 Laurie Nafziger 574-533-1234 6420510 ln9983 Parkview Regional Medical Center 11109 Parkview Plaza Drive Fort Wayne IN 46845 Ben Miles 260-266-1000 6429153 bm7140 Richard L. Roudebush Veterans 1481 West Tenth Street Indianapolis IN 46202 Brian Hancock 317-554-0000 6420735 bh366 Affairs Medical Center St. Vincent Kokomo 1907 West Sycamore Street Kokomo IN 46901 Margaret Johnson 765-452-5611 6420780 mj678 St. Vincent Mercy Hospital 1331 South 'A' Street Elwood IN 46036 Ann Yates 765-552-4600 6420280 ay289 In Progress, No Errors Organization Name Address City State Zip Contact Telephone Login Password Dearborn County Hospital 600 Wilson Creek Road Lawrenceburg IN 47025 Michael Schwebler 812-537-1010 6420855 ms9952 Decatur County Memorial Hospital 720 North Lincoln Street Greensburg IN 47240 Rex McKinney 812-663-4331 6420530 rm758 Eskenazi Health 720 Eskenazi Avenue Indianapolis IN 46202 Lisa Harris 317-880-0000 6420620 lh9750 Evansville State Hospital 3400 Lincoln Avenue Evansville IN 47714 Cathe Fulcher 812-469-6800 6420360 cf4653 Greene County General Hospital 1185 North 1000 West Linton IN 47441 Brenda Reetz 812-847-2281 6420870 br470 Hendricks Regional Health 1000 East Main Street Danville IN 46122 Kevin Speer 317-745-4451 6420235 ks9570
Prepared by Health Forum, LLC Page 5 of 7 Wednesday, May 9, 2018 A subsidiary of the American Hospital Association AHA Annual Survey - Fiscal Year 2017
Status Report for State: IN
Kosciusko Community Hospital 2101 East Dubois Drive Warsaw IN 46580 Kirk Ray 574-267-3200 6421440 kr3464 Logansport Memorial Hospital 1101 Michigan Avenue Logansport IN 46947 Perry Gay 574-753-7541 6420880 pg9987 Marion General Hospital 441 North Wabash Avenue Marion IN 46952 Stephanie Hilton- 765-660-6000 6420920 sh8629 Siebert Memorial Hospital And Health Care 800 West Ninth Street Jasper IN 47546 E Bennett 812-996-2345 6420740 eb925 Center Parkview Huntington Hospital 2001 Stults Road Huntington IN 46750 Juli Johnson 260-355-3000 6420590 jj7266 Parkview Lagrange Hospital 207 North Townline Road LaGrange IN 46761 Jordi Disler 260-463-9000 6420830 jd4084 Parkview Noble Hospital 401 Sawyer Road Kendallville IN 46755 Gary Adkins 260-347-8700 6420760 ga5424 Parkview Wabash County Hospital 710 North East Street Wabash IN 46992 Marilyn Custer- 260-563-3131 6421430 mc9687 Mitchell Parkview Whitley Hospital 1260 East State Road 205 Columbia City IN 46725 Scott Gabriel 260-248-9000 6420197 sg9833 Pulaski Memorial Hospital 616 East 13th Street Winamac IN 46996 Thomas Barry 574-946-2100 6421485 tb4575 Rehabilitation Hospital Of Fort Wayne 7970 West Jefferson Boulevard Fort Wayne IN 46804 Shelley Boxell 260-435-6100 6420011 sb8224 Reid Health 1100 Reid Parkway Richmond IN 47374 Craig Kinyon 765-983-3000 6421190 ck2093 Select Specialty Hospital-Evansville 400 SE 4th Street Evansville IN 47713 Scott Butler 812-42-12500 6420053 sb841 St. Mary Medical Center 1500 South Lake Park Avenue Hobart IN 46342 Janice Ryba 219-942-0551 6420565 jr6981 St. Vincent Anderson 2015 Jackson Street Anderson IN 46016 Mike Schroyer 765-649-2511 6420050 ms6773 St. Vincent Salem Hospital 911 North Shelby Street Salem IN 47167 Dana Muntz 812-883-5881 6421257 dm7558 Starke Hospital 102 East Culver Road Knox IN 46534 Jeff Vice 574-772-6231 6420770 jv547 Completed Organization Name Address City State Zip Contact Telephone Login Password Elkhart General Hospital 600 East Boulevard Elkhart IN 46514 Carl Risk 574-294-2621 6420270 cr9435 Indiana University Health Blackford 410 Pilgrim Boulevard Hartford City IN 47348 Steven West 765-348-0300 6420570 sw1724 Hospital Submitted Organization Name Address City State Zip Contact Telephone Login Password Bluffton Regional Medical Center 303 South Main Street Bluffton IN 46714 Brent Parsons 260-824-3210 6420031 bp6673 Community Hospital Of Bremen 1020 High Road Bremen IN 46506 David Bailey 574-546-2211 6420165 db4511 Deaconess Hospital 600 Mary Street Evansville IN 47710 Shawn McCoy 812-450-5000 6420320 sm3993 Healthsouth Deaconess Rehabilitation 4100 Covert Avenue Evansville IN 47714 Blake Bunner 812-476-9983 6420365 bb6577 Hospital Lafayette Regional Rehabilitation 950 Park East Boulevard Lafayette IN 47905 Michelle Russell 765-447-4040 6420483 mr7188 Hospital Methodist Hospitals 600 Grant Street Gary IN 46402 Raymond Grady 219-886-4000 6420495 rg5919 Rehabilitation Hospital Of Indiana 4141 Shore Drive Indianapolis IN 46254 Daniel Woloszyn 317-329-2000 6420006 dw1675 Riverview Health 395 Westfield Road Noblesville IN 46060 Seth Warren 317-773-0760 6421098 sw7323
Prepared by Health Forum, LLC Page 6 of 7 Wednesday, May 9, 2018 A subsidiary of the American Hospital Association AHA Annual Survey - Fiscal Year 2017
Status Report for State: IN
St. Vincent Heart Center 10580 North Meridian Street Indianapolis IN 46290 Blake Dye 317-583-5000 6420036 bd2052 St. Vincent Randolph Hospital 473 Greenville Avenue Winchester IN 47394 Carla Fouse 765-584-0004 6421490 cf6712 The Women's Hospital 4199 Gateway Boulevard Newburgh IN 47630 Christina Ryan 812-842-4200 6420032 cr2497
Prepared by Health Forum, LLC Page 7 of 7 Wednesday, May 9, 2018 A subsidiary of the American Hospital Association