# HENRY COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hickory Creek at Crawfordsville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710916671
- **Authorized official:** MR. BRIAN RING (PRESIDENT/CEO)
- **Authorized official phone:** (765) 521-1515

## Contact information

- **Practice address:** 817 WHITLOCK AVE, CRAWFORDSVILLE, IN 47933-1449
- **Practice address phone:** (765) 362-8590
- **Practice address fax:** (765) 361-9956
- **Mailing address:** 817 WHITLOCK AVE, CRAWFORDSVILLE, IN 47933-1449
- **Mailing address phone:** (765) 362-8590
- **Mailing address fax:** (765) 361-9956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 05-000533-1 | IN | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 08/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100267230 | — | IN |