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NPI Code Detail

MEDICARE: HENDRICKS COUNTY HOSPITAL

MEDICARE: HENDRICKS COUNTY HOSPITAL
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
1314000000XSkilled Nursing Facility

Other Identifiers

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

General Provider Information

NPI Number : 1417903980
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENDRICKS COUNTY HOSPITAL
Provider Business Mailing Address
First Line : 2002 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1903
Country : US
Telephone Number : 317-872-8811
Fax Number :
Provider Business Practice Location Address
First Line : 2002 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1903
Country : US
Telephone Number : 317-872-8811
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : KEVIN P SPEER
Credential :
Telephone Number : 317-745-4451
Provider Enumeration Date : 05/26/2006
Last Update Date : 06/15/2022

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Directions to “HENDRICKS COUNTY HOSPITAL ” Practice Location

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