Provider Demographics
NPI:1578971792
Name:HENDRICKS COUNTY HOSPITAL
Entity Type:Organization
Organization Name:HENDRICKS COUNTY HOSPITAL
Other - Org Name:HENDRICKS REGIONAL HEALTH BROWNSBURG HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN NETWORK DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GENI
Authorized Official - Middle Name:
Authorized Official - Last Name:KLAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-745-3786
Mailing Address - Street 1:5492 N RONALD REAGAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-5618
Mailing Address - Country:US
Mailing Address - Phone:317-837-5570
Mailing Address - Fax:317-837-5580
Practice Address - Street 1:5492 N RONALD REAGAN PKWY
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-5618
Practice Address - Country:US
Practice Address - Phone:317-837-5570
Practice Address - Fax:317-837-5580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care HospitalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN354590Medicare PIN