Healthcare Provider Details

I. General information

NPI: 1174761233
Provider Name (Legal Business Name): FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2009
Last Update Date: 06/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 GREEN VALLEY RD
NEW ALBANY IN
47150-4648
US

IV. Provider business mailing address

2210 GREEN VALLEY RD
NEW ALBANY IN
47150-4648
US

V. Phone/Fax

Practice location:
  • Phone: 812-945-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD W. MILLER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 812-949-5500