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NPI Code Detail

MEDICARE: HEALTH & HOSPITAL CORP OF MARION COUNTY

MEDICARE: HEALTH & HOSPITAL CORP OF MARION COUNTY
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
1363LF0000XFamily Nurse Practitioner70112341AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1251K00000XOTHERINPUBLIC HEALTH

General Provider Information

NPI Number : 1336308303
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH & HOSPITAL CORP OF MARION COUNTY
Provider Business Mailing Address
First Line : 4340 TRACE WOOD DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-6238
Country : US
Telephone Number : 317-328-9121
Fax Number :
Provider Business Practice Location Address
First Line : 2868 N PENNSYLVANIA ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-4125
Country : US
Telephone Number : 317-373-2730
Fax Number : 317-221-3516
Authorized Official
Title or Position : FAMILY NURSE PRACTITIONER
Name : MS. FACIA T HILTON
Credential :
Telephone Number : 317-373-2730
Provider Enumeration Date : 06/05/2008
Last Update Date : 06/05/2008

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Directions to “HEALTH & HOSPITAL CORP OF MARION COUNTY ” Practice Location

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