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	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1750218004
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	:	317-837-5566
Fax Number	:	317-718-6793

Provider Business Practice Location Address
First Line	:	5492 N RONALD REAGAN PKWY STE 210
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-5659
Country	:	US
Telephone Number	:	317-858-4605
Fax Number	:	317-858-4617

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	HEATHER RUTHERFORD
Credential	:
Telephone Number	:	317-837-5566

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	06/01/2026

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Directions to “HENDRICKS COUNTY HOSPITAL ” Practice Location

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