Healthcare Provider Details

I. General information

NPI: 1831589498
Provider Name (Legal Business Name): HANCOCK REGIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2015
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14751 CAREY RD
CARMEL IN
46033-9084
US

IV. Provider business mailing address

14751 CAREY RD
CARMEL IN
46033-9084
US

V. Phone/Fax

Practice location:
  • Phone: 317-575-2208
  • Fax: 317-575-6102
Mailing address:
  • Phone: 317-575-2208
  • Fax: 317-575-6102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number15-012548-1
License Number StateIN

VIII. Authorized Official

Name: STEVEN V LONG
Title or Position: PRESIDENT/CEO
Credential:
Phone: 317-462-5544