Healthcare Provider Details

I. General information

NPI: 1972945855
Provider Name (Legal Business Name): HANCOCK REGIONAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W GREEN MEADOWS DR
GREENFIELD IN
46140-1014
US

IV. Provider business mailing address

200 W GREEN MEADOWS DR
GREENFIELD IN
46140-1014
US

V. Phone/Fax

Practice location:
  • Phone: 317-462-3311
  • Fax: 317-462-8412
Mailing address:
  • Phone: 317-462-3311
  • Fax: 317-462-8412

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: STEVEN LONG
Title or Position: PRESIDENT/CEO
Credential:
Phone: 317-462-5544