Provider Demographics
NPI:1760474670
Name:THE METHODIST HOSPITALS, INC.
Entity Type:Organization
Organization Name:THE METHODIST HOSPITALS, INC.
Other - Org Name:METHODIST HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:S
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-886-4171
Mailing Address - Street 1:303 E 89TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-8126
Mailing Address - Country:US
Mailing Address - Phone:219-738-5990
Mailing Address - Fax:219-738-5709
Practice Address - Street 1:303 E 89TH AVE STE A
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-8126
Practice Address - Country:US
Practice Address - Phone:219-886-4993
Practice Address - Fax:219-886-4529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-17
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN040030701251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000097675OtherANTHEM
IN200364860AMedicaid
IN=========033OtherTRICARE
IN157536Medicare Oscar/Certification