Healthcare Provider Details

I. General information

NPI: 1821576737
Provider Name (Legal Business Name): HENDRICKS COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2018
Last Update Date: 10/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 HORNADAY RD
BROWNSBURG IN
46112-1958
US

IV. Provider business mailing address

3720 HORNADAY RD
BROWNSBURG IN
46112-1958
US

V. Phone/Fax

Practice location:
  • Phone: 317-745-4451
  • Fax: 317-217-2449
Mailing address:
  • Phone: 317-838-9355
  • Fax: 317-386-5456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number0905005
License Number StateIN

VIII. Authorized Official

Name: ERIN RUMLEY
Title or Position: DIRECTOR
Credential:
Phone: 317-838-9355