# HENDRICKS COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Byron Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194940205
- **Authorized official:** KEVIN P SPEER (PRESIDENT / CEO)
- **Authorized official phone:** (317) 745-4451

## Contact information

- **Practice address:** 1661 BEACON ST., FORT WAYNE, IN 46805-9563
- **Practice address phone:** (260) 637-3166
- **Mailing address:** 1661 BEACON ST., FORT WAYNE, IN 46805-9563
- **Mailing address phone:** (260) 637-3166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 000255 | IN | Yes |
| 314000000X | Skilled Nursing Facility | 000255 | IN | — |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 04/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100273280 | — | IN |