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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
1282N00000XGeneral Acute Care Hospital010129IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000097870OTHERINANTHEM BLUE CROSS

General Provider Information

NPI Number : 1669475950
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENDRICKS COUNTY HOSPITAL
Provider Business Mailing Address
First Line : 1000 E MAIN ST
Second Line :
City : DANVILLE
State : IN
Zip : 46122-1948
Country : US
Telephone Number : 317-745-4451
Fax Number : 317-745-8400
Provider Business Practice Location Address
First Line : 1000 E MAIN ST
Second Line :
City : DANVILLE
State : IN
Zip : 46122-1948
Country : US
Telephone Number : 317-745-4451
Fax Number : 317-745-8400
Authorized Official
Title or Position : CEO
Name : MICHELLE FENOUGHTY
Credential :
Telephone Number : 317-745-3508
Provider Enumeration Date : 05/31/2005
Last Update Date : 05/21/2024

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1164419297 — GORDON REED M.D.
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Directions to “HENDRICKS COUNTY HOSPITAL ” Practice Location

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