MEDICARE: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	05-000188-1	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326035718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY

Provider Business Mailing Address
First Line	:	3017 VALLEY FARMS RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-1513
Country	:	US
Telephone Number	:	317-293-2555
Fax Number	:	317-297-9482

Provider Business Practice Location Address
First Line	:	3017 VALLEY FARMS RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214
Country	:	US
Telephone Number	:	317-293-2555
Fax Number	:	317-297-9482

Authorized Official
Title or Position	:	CFO OF ASC
Name	:	STEVE VAN CAMP
Credential	:	CPA
Telephone Number	:	317-788-2500

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	09/25/2020

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Directions to “THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY ” Practice Location

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