# HENRY COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hickory Creek at Peru
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164451944
- **Authorized official:** MR. BRIAN RING (PRESIDENT/CEO)
- **Authorized official phone:** (765) 521-1515

## Contact information

- **Practice address:** 390 BOULEVARD, PERU, IN 46970-1514
- **Practice address phone:** (765) 473-4900
- **Practice address fax:** (765) 473-3196
- **Mailing address:** 6081 E 82ND ST, INDIANAPOLIS, IN 46250-1795
- **Mailing address phone:** (317) 570-0266
- **Mailing address fax:** (317) 570-0266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 06-000475-1 | IN | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 08/16/2022