Healthcare Provider Details

I. General information

NPI: 1992979090
Provider Name (Legal Business Name): BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 04/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 W ALTO RD
KOKOMO IN
46902-4840
US

IV. Provider business mailing address

2226 W ALTO RD
KOKOMO IN
46902-4840
US

V. Phone/Fax

Practice location:
  • Phone: 765-453-7701
  • Fax:
Mailing address:
  • Phone: 765-453-7701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

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