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General NPI Number Information
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NPI Number | 1245248269
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Entity Type | Organization
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Legal Business Name | HUNTINGTON MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 2001 STULTS RD
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City | HUNTINGTON
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State | IN
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Zip | 46750
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Country | US
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Telephone | 260-355-3304
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Fax | 260-355-3346
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Provider Business Mailing Address
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Address Line | PO BOX 5600
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City | FORT WAYNE
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State | IN
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Zip | 46895-5600
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Country | US
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Telephone | 260-373-7008
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Fax | 260-373-7059
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Authorized Official
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Title or Position | ACFO
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Name | STANTON RISSER
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Credential |
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Telephone | 260-266-9380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 100138150A
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License Number State | IN
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