# HENRY COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forest Park Health Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710076823
- **Authorized official:** BRIAN RING (PRESIDENT & CEO)
- **Authorized official phone:** (765) 521-1515

## Contact information

- **Practice address:** 2401 S L ST, RICHMOND, IN 47374-7439
- **Practice address phone:** (765) 966-5705
- **Practice address fax:** (765) 966-5713
- **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 | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 08/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200853180A | — | IN |