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Organization
RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO., LLC
Active
Organization
RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO., LLC
Active
Other names
Integra Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES WESP (ADMINISTRATOR)
(765) 282-5822
Entity
Organization
Contact information
Practice address
2401 W UNIVERSITY AVE, 8TH FLOOR NORTH TOWER, MUNCIE, IN 47303-3428
(765) 282-5822
(765) 289-5170
Mailing address
2401 W UNIVERSITY AVE, 8TH FLOOR NORTH TOWER, MUNCIE, IN 47303-3428
(765) 282-5822
(765) 289-5170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
282E00000X
Long Term Care Hospital
Primary
060042861
IN
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200509740
—
IN
Enumeration date
02/22/2007
Last updated
05/13/2010
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