# HANCOCK REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wildwood Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376965269
- **Authorized official:** STEVEN LONG (PRESIDENT/CEO)
- **Authorized official phone:** (317) 462-5544

## Contact information

- **Practice address:** 7301 E 16TH ST, INDIANAPOLIS, IN 46219-2308
- **Practice address phone:** (317) 353-1290
- **Practice address fax:** (317) 351-2579
- **Mailing address:** 7301 E 16TH ST, INDIANAPOLIS, IN 46219-2308
- **Mailing address phone:** (317) 353-1290
- **Mailing address fax:** (317) 351-2579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 14-000227-1 | IN | Yes |

## Other

- **Enumeration date:** 01/10/2014
- **Last updated:** 10/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100267520C | — | IN |