Healthcare Provider Details

I. General information

NPI: 1861853574
Provider Name (Legal Business Name): HENDRICKS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2016
Last Update Date: 03/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 WESTFIELD RD SUITE A
NOBLESVILLE IN
46060-1497
US

IV. Provider business mailing address

1100 SOUTHFIELD DR SUITE 1370
PLAINFIELD IN
46168-4498
US

V. Phone/Fax

Practice location:
  • Phone: 317-718-9000
  • Fax: 317-718-9010
Mailing address:
  • Phone: 317-837-5570
  • Fax: 317-837-5580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number01063624A
License Number StateIN

VIII. Authorized Official

Name: GENIEVEE S KLAYER
Title or Position: NETWORK DIRECTOR
Credential: RN BSN MBA
Phone: 317-837-5571