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General NPI Number Information
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NPI Number | 1972663110
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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 | 12/11/2006
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 1564 UNIVERSITY BLVD
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City | UPLAND
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State | IN
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Zip | 46989
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Country | US
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Telephone | 765-998-2761
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Fax | 765-998-0070
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Provider Business Mailing Address
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Address Line | 1564 UNIVERSITY BLVD
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City | UPLAND
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State | IN
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Zip | 46989-9199
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Country | US
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Telephone | 765-998-2761
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Fax | 765-998-0070
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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 | 060001071
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License Number State | IN
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