Healthcare Provider Details

I. General information

NPI: 1689104259
Provider Name (Legal Business Name): THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2017
Last Update Date: 06/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 ESKENAZI AVENUE
INDIANAPOLIS IN
46202-5166
US

IV. Provider business mailing address

720 ESKENAZI AVENUE FIFTH THIRD BANK BUILDING, 5TH FLOOR
INDIANAPOLIS IN
46202-5166
US

V. Phone/Fax

Practice location:
  • Phone: 317-880-0000
  • Fax:
Mailing address:
  • Phone: 317-880-3818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW R GUTWEIN
Title or Position: CEO/PRESIDENT
Credential:
Phone: 317-880-8908