# HENDRICKS COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hendricks Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861598708
- **Authorized official:** HEATHER RUTHERFORD (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (317) 837-5566

## Contact information

- **Practice address:** 1411 S GREEN ST, SUITE 130, BROWNSBURG, IN 46112-2049
- **Practice address phone:** (317) 858-4610
- **Practice address fax:** (317) 858-4620
- **Mailing address:** 1100 SOUTHFIELD DR, SUITE 1370, PLAINFIELD, IN 46168-4498
- **Mailing address phone:** (317) 837-5571
- **Mailing address fax:** (317) 837-5580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 05/28/2024