Healthcare Provider Details

I. General information

NPI: 1114016987
Provider Name (Legal Business Name): HANCOCK REGIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 08/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEMORIAL SQ STE 100
GREENFIELD IN
46140-2819
US

IV. Provider business mailing address

PO BOX 129
GREENFIELD IN
46140-0129
US

V. Phone/Fax

Practice location:
  • Phone: 317-462-3255
  • Fax:
Mailing address:
  • Phone: 317-468-6221
  • Fax: 317-468-6267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. RICK EDWARDS
Title or Position: VP OF FINANCE & BUSINESS SERV
Credential:
Phone: 317-485-4577