Healthcare Provider Details

I. General information

NPI: 1508198409
Provider Name (Legal Business Name): HENDRICKS COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2010
Last Update Date: 10/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 S GREEN ST STE 220
BROWNSBURG IN
46112-2048
US

IV. Provider business mailing address

1411 S GREEN ST STE 220
BROWNSBURG IN
46112-2048
US

V. Phone/Fax

Practice location:
  • Phone: 317-838-9355
  • Fax: 317-852-2473
Mailing address:
  • Phone: 317-838-9355
  • Fax: 317-852-2473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number090050051
License Number StateIN

VIII. Authorized Official

Name: ERIN RUMLEY
Title or Position: DIRECTOR
Credential:
Phone: 314-838-9355