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NPI Code Detail

MEDICARE: HANCOCK REGIONAL HOSPITAL

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
1314000000XSkilled Nursing Facility130106662IN

Other Identifiers

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

General Provider Information

NPI Number : 1861833311
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANCOCK REGIONAL HOSPITAL
Provider Business Mailing Address
First Line : 4102 SHORE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-2608
Country : US
Telephone Number : 317-347-9051
Fax Number : 317-347-9605
Provider Business Practice Location Address
First Line : 4102 SHORE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-2608
Country : US
Telephone Number : 317-347-9051
Fax Number : 317-347-9605
Authorized Official
Title or Position : PRESIDENT/CEO
Name : STEVEN LONG
Credential :
Telephone Number : 317-462-5544
Provider Enumeration Date : 07/12/2013
Last Update Date : 10/25/2017

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Directions to “HANCOCK REGIONAL HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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