# HANCOCK REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prairie Lakes Health Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598087454
- **Authorized official:** STEVE LONG (PRESIDENT & CEO)
- **Authorized official phone:** (317) 462-5544

## Contact information

- **Practice address:** 9730 PRAIRIE LAKES BLVD E, NOBLESVILLE, IN 46060-4766
- **Practice address phone:** (317) 770-3644
- **Practice address fax:** (317) 770-3650
- **Mailing address:** PO BOX 221648, LOUISVILLE, KY 40252-1648
- **Mailing address phone:** (502) 412-5847

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2010
- **Last updated:** 03/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20098990A | — | IN |