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General NPI Number Information
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NPI Number | 1821040031
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Entity Type | Organization
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Legal Business Name | HENDRICKS COUNTY HOSPITAL
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 155 E BURKS DR
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City | BLOOMINGTON
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State | IN
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Zip | 47401-8459
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Country | US
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Telephone | 812-332-4437
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Fax | 812-335-3672
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Provider Business Mailing Address
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Address Line | 155 E BURKS DR
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City | BLOOMINGTON
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State | IN
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Zip | 47401-8459
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Country | US
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Telephone | 812-332-4437
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Fax | 812-335-3672
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KEVIN P SPEER
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Credential |
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Telephone | 317-745-4451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 06-000177-1
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License Number State | IN
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