# HENRY COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bethel Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619964988
- **Authorized official:** MR. BRIAN RING (PRESIDENT/CEO)
- **Authorized official phone:** (765) 521-1515

## Contact information

- **Practice address:** 6015 KRATZVILLE ROAD, EVANSVILLE, IN 47710-4575
- **Practice address phone:** (812) 425-8182
- **Practice address fax:** (812) 422-7698
- **Mailing address:** 6015 KRATZVILLE ROAD, EVANSVILLE, IN 47710-4575
- **Mailing address phone:** (812) 425-8182
- **Mailing address fax:** (812) 422-7698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 11-000436-1 | IN | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 11-000436-1 | IN | — |
| 314000000X | Skilled Nursing Facility | 11-000436-1 | IN | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 08/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100275120 | — | IN |