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NPI Code Detail

MEDICARE: HENRY COUNTY MEMORIAL HOSPITAL

MEDICARE: HENRY COUNTY MEMORIAL 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 Facility10-000327-1IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000200147OTHERINANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801871082
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENRY COUNTY MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 231 N JACKSON STREET
Second Line :
City : OAKLAND CITY
State : IN
Zip : 47660-0010
Country : US
Telephone Number : 812-749-4774
Fax Number : 812-749-6396
Provider Business Practice Location Address
First Line : 231 N JACKSON STREET
Second Line :
City : OAKLAND CITY
State : IN
Zip : 47660-0010
Country : US
Telephone Number : 812-749-4774
Fax Number : 812-749-6396
Authorized Official
Title or Position : CEO OF ASC
Name : MR. STEVE VAN CAMP
Credential : CPA
Telephone Number : 317-788-2500
Provider Enumeration Date : 12/12/2005
Last Update Date : 08/26/2024

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Directions to “HENRY COUNTY MEMORIAL HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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