# HANCOCK REGIONAL HOSPITAL

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

## Provider details

- **NPI number:** 1477994754
- **Authorized official:** STEVEN LONG (PRESIDENT/CEO)
- **Authorized official phone:** (317) 462-5544

## Contact information

- **Practice address:** 2300 GREAT LAKES DR, DYER, IN 46311-1917
- **Practice address phone:** (219) 322-3555
- **Practice address fax:** (219) 322-2292
- **Mailing address:** 2300 GREAT LAKES DR, DYER, IN 46311-1917
- **Mailing address phone:** (219) 322-3555
- **Mailing address fax:** (219) 322-2292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2013
- **Last updated:** 10/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100266720C | — | IN |