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Contact Information

HENRY COUNTY MEMORIAL HOSPITAL
2630 S KEYSTONE AVE
INDIANAPOLIS, IN46203
 Phone: 317-787-8951
 Fax: 317-780-2550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for HENRY COUNTY MEMORIAL HOSPITAL

NPI # 1952452815
LBN Legal business name HENRY COUNTY MEMORIAL HOSPITAL
Authorized official STEVEN VANCAMP - (CEO OF ASC)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2007
Last updated 10/27/2025 - About 7 months ago
Identifiers
IN License # 06-004700-1
IN Medicaid 100266630C
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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