Healthcare Provider Details

I. General information

NPI: 1962765727
Provider Name (Legal Business Name): BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 06/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 E SOUTHWAY BLVD
KOKOMO IN
46902-3814
US

IV. Provider business mailing address

PO BOX 7101
INDIANAPOLIS IN
46207-7101
US

V. Phone/Fax

Practice location:
  • Phone: 765-865-3300
  • Fax:
Mailing address:
  • Phone: 765-453-8040
  • Fax: 765-864-6786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ALAN BIGGS
Title or Position: CFO
Credential:
Phone: 765-453-8179