Healthcare Provider Details
I. General information
NPI: 1922133461
Provider Name (Legal Business Name): HEALTH & HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3838 N RURAL ST
INDIANAPOLIS IN
46205-2930
US
IV. Provider business mailing address
3838 N RURAL ST
INDIANAPOLIS IN
46205-2930
US
V. Phone/Fax
- Phone: 317-221-2306
- Fax: 317-221-2336
- Phone: 317-221-2306
- Fax: 317-221-2336
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MATTHEW
GUTWEIN
Title or Position: CEO PRESIDENT
Credential:
Phone: 317-221-2306