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
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1578971792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENDRICKS COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	5492 N RONALD REAGAN PKWY
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-5618
Country	:	US
Telephone Number	:	317-837-5570
Fax Number	:	317-837-5580

Provider Business Practice Location Address
First Line	:	5492 N RONALD REAGAN PKWY
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-5618
Country	:	US
Telephone Number	:	317-837-5570
Fax Number	:	317-837-5580

Authorized Official
Title or Position	:	PHYSICIAN NETWORK DIRECTOR
Name	:	GENI KLAYER
Credential	:
Telephone Number	:	317-745-3786

Provider Enumeration Date	:	07/31/2014
Last Update Date	:	04/27/2018

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Directions to “HENDRICKS COUNTY HOSPITAL ” Practice Location

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