Provider Demographics
NPI:1093579005
Name:THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Entity Type:Organization
Organization Name:THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, PROVIDER RELATIONS,ENROLLM
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-880-3986
Mailing Address - Street 1:6002 E 38TH ST STE 1300
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-5602
Mailing Address - Country:US
Mailing Address - Phone:317-880-1455
Mailing Address - Fax:
Practice Address - Street 1:6002 E 38TH ST STE 1300
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-5602
Practice Address - Country:US
Practice Address - Phone:317-880-1455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy