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General NPI Number Information
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NPI Number | 1861489254
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Entity Type | Organization
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Legal Business Name | THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 1120 N MAIN ST
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City | MONTICELLO
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State | IN
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Zip | 47960
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Country | US
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Telephone | 574-583-7073
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Fax | 574-583-9603
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Provider Business Mailing Address
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Address Line | 1120 N MAIN ST
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City | MONTICELLO
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State | IN
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Zip | 47960-1500
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Country | US
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Telephone | 574-583-7073
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Fax | 574-583-9603
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Authorized Official
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Title or Position | CFO OF ASC
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Name | STEVE VAN CAMP
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Credential | CPA
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Telephone | 317-788-2500
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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 | 05-000072-1
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License Number State | IN
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