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Organization
HENRY COUNTY MEMORIAL HOSPITAL
Active
Organization
HENRY COUNTY MEMORIAL HOSPITAL
Active
Other names
The Waters of Muncie
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN RING (PRESIDENT/CEO)
(765) 521-1515
Entity
Organization
Contact information
Practice address
2400 CHATEAU DR, MUNCIE, IN 47303-1900
(765) 747-9044
(765) 747-4954
Mailing address
2400 CHATEAU DR, MUNCIE, IN 47303-1900
(765) 747-9044
(765) 747-4954
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
13-000310-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000381419
ANTHEM BCBS
IN
01
—
000000391194
ANTHEM PT
IN
01
—
000000391195
ANTHEM ST
IN
05
—
100288970C
—
IN
01
—
5586760001
DMERC REGION B SUPPLIER#
IN
Enumeration date
06/01/2006
Last updated
08/16/2022
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