Healthcare Provider Details

I. General information

NPI: 1811915929
Provider Name (Legal Business Name): HENRY COUNTY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/11/2020
Certification Date: 08/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E RIVERVIEW AVE
NAPOLEON OH
43545-9805
US

IV. Provider business mailing address

1600 E RIVERVIEW AVE
NAPOLEON OH
43545-9805
US

V. Phone/Fax

Practice location:
  • Phone: 419-592-4015
  • Fax: 419-591-3855
Mailing address:
  • Phone: 419-592-4015
  • Fax: 419-591-3855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number270733
License Number StateOH

VIII. Authorized Official

Name: KIMBERLY H BORDENKIRCHER
Title or Position: CEO
Credential:
Phone: 419-592-4015