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General NPI Number Information
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NPI Number | 1972532737
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Entity Type | Organization
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Legal Business Name | HENRY COUNTY MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 1620 N LINCOLN ST
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City | GREENSBURG
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State | IN
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Zip | 47240-1286
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Country | US
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Telephone | 812-663-7503
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Fax | 812-663-2145
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Provider Business Mailing Address
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Address Line | 1620 N LINCOLN ST
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City | GREENSBURG
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State | IN
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Zip | 47240-1286
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Country | US
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Telephone | 812-663-7503
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Fax | 812-663-2145
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. BRIAN RING
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Credential |
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Telephone | 765-521-1515
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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 | 05-000244-2
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License Number State | IN
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