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NPI Code Detail

MEDICARE: HENDRICKS COUNTY HOSPITAL

MEDICARE: HENDRICKS COUNTY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility040002391IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093762155
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENDRICKS COUNTY HOSPITAL
Provider Business Mailing Address
First Line : 3001 KEITH ST NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-3713
Country : US
Telephone Number : 423-473-5751
Fax Number : 423-339-8342
Provider Business Practice Location Address
First Line : 2819 N SAINT JOSEPH AVE
Second Line :
City : EVANSVILLE
State : IN
Zip : 47720-1335
Country : US
Telephone Number : 812-424-2941
Fax Number : 812-423-6230
Authorized Official
Title or Position : CEO/PRESIDENT
Name : KEVIN P. SPEER
Credential :
Telephone Number : 317-745-4451
Provider Enumeration Date : 05/27/2006
Last Update Date : 10/10/2019

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Directions to “HENDRICKS COUNTY HOSPITAL ” Practice Location

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