Healthcare Provider Details

I. General information

NPI: 1891004057
Provider Name (Legal Business Name): HEALTH AND HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2010
Last Update Date: 10/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 W 10TH ST
INDIANAPOLIS IN
46202-2859
US

IV. Provider business mailing address

1001 W 10TH ST
INDIANAPOLIS IN
46202-2859
US

V. Phone/Fax

Practice location:
  • Phone: 317-630-7646
  • Fax: 317-630-6406
Mailing address:
  • Phone: 317-630-7646
  • Fax: 317-630-6406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number28128750A
License Number StateIN

VIII. Authorized Official

Name: LEE WILBUR
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 317-630-7276