Provider Demographics
NPI:1710535653
Name:HENDRICKS COUNTY HOSPITAL
Entity Type:Organization
Organization Name:HENDRICKS COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NETWORK DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATTERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-837-5571
Mailing Address - Street 1:8244 E US HIGHWAY 36 STE 150
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-5526
Mailing Address - Country:US
Mailing Address - Phone:317-745-3400
Mailing Address - Fax:
Practice Address - Street 1:8244 E US HIGHWAY 36 STE 150
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-5526
Practice Address - Country:US
Practice Address - Phone:317-745-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty