MEDICARE: HANCOCK REGIONAL 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
1	282N00000X	General Acute Care Hospital

Other Identifiers

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

General Provider Information

NPI Number	:	1255752358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANCOCK REGIONAL HOSPITAL

Provider Business Mailing Address
First Line	:	801 N STATE ST
Second Line	:
City	:	GREENFIELD
State	:	IN
Zip	:	46140-1270
Country	:	US
Telephone Number	:	317-468-4900
Fax Number	:

Provider Business Practice Location Address
First Line	:	8535 N CLEARVIEW DR
Second Line	:
City	:	MCCORDSVILLE
State	:	IN
Zip	:	46055-6240
Country	:	US
Telephone Number	:	317-335-6907
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	RICK EDWARDS
Credential	:
Telephone Number	:	317-468-4400

Provider Enumeration Date	:	12/17/2013
Last Update Date	:	12/17/2013

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Directions to “HANCOCK REGIONAL HOSPITAL ” Practice Location

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