Provider Demographics
NPI:1891821591
Name:HAMILTION INPATIENT PHYSICIANS, LLC
Entity Type:Organization
Organization Name:HAMILTION INPATIENT PHYSICIANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PENCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-773-0760
Mailing Address - Street 1:176 LOGAN ST
Mailing Address - Street 2:# 368
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-1437
Mailing Address - Country:US
Mailing Address - Phone:317-679-1123
Mailing Address - Fax:317-770-2793
Practice Address - Street 1:395 WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1425
Practice Address - Country:US
Practice Address - Phone:317-773-0760
Practice Address - Fax:317-770-2793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200352370AMedicaid
IN200352370AMedicaid