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Organization
HENDRICKS COUNTY HOSPITAL
Active
Organization
HENDRICKS COUNTY HOSPITAL
Active
Other names
Hendricks Health Access Center
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RUTHERFORD (CREDENTIALING COORDINATOR)
(317) 837-5566
Entity
Organization
Contact information
Practice address
8244 E US HIGHWAY 36 STE 1210, AVON, IN 46123-9688
(317) 386-5639
(317) 386-5499
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/26/2024
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