Provider Demographics
NPI:1326234592
Name:HANCOCK REGIONAL SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:HANCOCK REGIONAL SURGERY CENTER, LLC
Other - Org Name:HANCOCK SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-454-5112
Mailing Address - Street 1:1 MEMORIAL SQ STE 1000
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-1377
Mailing Address - Country:US
Mailing Address - Phone:317-454-5112
Mailing Address - Fax:317-454-5110
Practice Address - Street 1:1 MEMORIAL SQ STE 1000
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-1377
Practice Address - Country:US
Practice Address - Phone:317-454-5112
Practice Address - Fax:317-454-5110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical