Healthcare Provider Details

I. General information

NPI: 1457697377
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: 12/20/2012
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

457 S STATE ROAD 145
FRENCH LICK IN
47432
US

IV. Provider business mailing address

457 S STATE ROAD 145
FRENCH LICK IN
47432-1036
US

V. Phone/Fax

Practice location:
  • Phone: 812-936-9991
  • Fax: 812-936-9756
Mailing address:
  • Phone: 812-936-9991
  • Fax: 812-936-9756

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: CFO OF ASC
Credential: CPA
Phone: 317-788-2500