Provider Demographics
NPI:1336308303
Name:HEALTH & HOSPITAL CORP OF MARION COUNTY
Entity Type:Organization
Organization Name:HEALTH & HOSPITAL CORP OF MARION COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:FACIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-373-2730
Mailing Address - Street 1:4340 TRACE WOOD DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-6238
Mailing Address - Country:US
Mailing Address - Phone:317-328-9121
Mailing Address - Fax:
Practice Address - Street 1:2868 N PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-4125
Practice Address - Country:US
Practice Address - Phone:317-373-2730
Practice Address - Fax:317-221-3516
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH & HOSPITAL CORP OF MARION COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN70112341A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN251K00000XOtherPUBLIC HEALTH