Healthcare Provider Details

I. General information

NPI: 1609001726
Provider Name (Legal Business Name): BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 05/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3509 S REED RD
KOKOMO IN
46902-3838
US

IV. Provider business mailing address

3509 S REED RD
KOKOMO IN
46902-3838
US

V. Phone/Fax

Practice location:
  • Phone: 765-453-8550
  • Fax: 765-453-8049
Mailing address:
  • Phone: 765-453-8550
  • Fax: 765-453-8049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS M COOK
Title or Position: CFO / VP OF FINANCE
Credential:
Phone: 765-453-8179