Healthcare Provider Details

I. General information

NPI: 1861752669
Provider Name (Legal Business Name): BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2012
Last Update Date: 05/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 W SYCAMORE ST
KOKOMO IN
46901-4634
US

IV. Provider business mailing address

PO BOX 7101
INDIANAPOLIS IN
46207-7101
US

V. Phone/Fax

Practice location:
  • Phone: 765-453-8052
  • Fax: 765-864-8711
Mailing address:
  • Phone: 765-453-8052
  • Fax: 765-864-8711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ALAN BIGGS
Title or Position: CFO
Credential:
Phone: 765-453-8476