Healthcare Provider Details

I. General information

NPI: 1417405218
Provider Name (Legal Business Name): HENDRICKS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HOSPITAL LN SUITE 315
DANVILLE IN
46122-1989
US

IV. Provider business mailing address

100 HOSPITAL LN SUITE 315
DANVILLE IN
46122-1989
US

V. Phone/Fax

Practice location:
  • Phone: 317-718-9000
  • Fax: 317-718-9010
Mailing address:
  • Phone: 317-718-9000
  • Fax: 317-718-9010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: GENIEVEE S KLAYER
Title or Position: PHYSICIAN NETWORK DIRECTOR
Credential: RN, BSN, MBA
Phone: 317-837-5571