THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY

Provider Demographics

• NPI: 1568407310
• 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: ESKENAZI HEALTH
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CEO
• Authorized Official - First Name: LISA
• Authorized Official - Middle Name: E
• Authorized Official - Last Name: HARRIS
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 317-880-4873
• Mailing Address - Street 1: 720 ESKENAZI AVE
• Mailing Address - City: INDIANAPOLIS
• Mailing Address - State: IN
• Mailing Address - Zip Code: 46202-5166
• Mailing Address - Country: US
• Mailing Address - Phone: 317-880-4055
• Mailing Address - Fax: 317-880-0406
• Practice Address - Street 1: 720 ESKENAZI AVE
• Practice Address - City: INDIANAPOLIS
• Practice Address - State: IN
• Practice Address - Zip Code: 46202-5187
• Practice Address - Country: US
• Practice Address - Phone: 317-880-4055
• Practice Address - Fax: 317-880-0406
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-06-17
• Last Update Date: 2023-09-07

Provider Licenses

State	License ID	Taxonomies
IN	100268860A	261QM0801X
		273R00000X
IN	06-005023-1	282N00000X
IN	100050231	332B00000X
IN	100268700A	3416L0300X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital
No	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center	Mental Health (Including Community Mental Health Center)
No	273R00000X	Hospital Units	Psychiatric Unit
No	332B00000X	Suppliers	Durable Medical Equipment & Medical Supplies
No	3416L0300X	Transportation Services	Ambulance	Land Transport

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IN	100286700A	Medicaid
IN	B-200152540A	Medicaid
IN	FM-200152510A	Medicaid
IN	100268850A	Medicaid
IN	GC-200152590A	Medicaid
IN	NA-200152640A	Medicaid
IN	PC-200152630A	Medicaid
IN	100268870A	Medicaid
IN	CC-200152530A	Medicaid
IN	000000098273	Other	ANTHEM/WELLPOINT
IN	M-200152600A	Medicaid
IN	W-200152610A	Medicaid
IN	100268860B	Medicaid
IN	MY-100291690B	Medicaid
IN	R-100291690A	Medicaid
IN	100268860A	Medicaid
	0381480001	Medicare PIN
IN	MY-100291690B	Medicaid