Healthcare Provider Details

I. General information

NPI: 1336557511
Provider Name (Legal Business Name): THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4180 SAGE BLUFF XING
FORD WAYNE IN
46804-2363
US

IV. Provider business mailing address

4180 SAGE BLUFF XING
FORD WAYNE IN
46804-2363
US

V. Phone/Fax

Practice location:
  • Phone: 260-443-7300
  • Fax: 260-482-5005
Mailing address:
  • Phone: 260-443-7300
  • Fax: 260-482-5005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: STEVE VAN CAMP
Title or Position: CEO OF ASC
Credential: CPA
Phone: 317-788-2500