Healthcare Provider Details

I. General information

NPI: 1013932367
Provider Name (Legal Business Name): HANCOCK REGIONAL TCU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N STATE ST
GREENFIELD IN
46140-1270
US

IV. Provider business mailing address

801 N STATE ST
GREENFIELD IN
46140-1270
US

V. Phone/Fax

Practice location:
  • Phone: 317-462-5544
  • Fax: 317-468-4173
Mailing address:
  • Phone: 317-462-5544
  • Fax: 317-468-4173

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: MR. RICK EDWARDS
Title or Position: CFO
Credential:
Phone: 317-468-4400