# HENRY COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aperion Care University Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871623041
- **Authorized official:** BRIAN RING (PRESIDENT/CEO)
- **Authorized official phone:** (765) 521-1515

## Contact information

- **Practice address:** 1400 MEDICAL PARK DR, FORT WAYNE, IN 46825-5832
- **Practice address phone:** (260) 484-1558
- **Practice address fax:** (260) 484-1550
- **Mailing address:** 1400 MEDICAL PARK DR, FORT WAYNE, IN 46825-5832
- **Mailing address phone:** (260) 484-1558
- **Mailing address fax:** (260) 484-1550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 08-000459-1 | IN | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100289700 | — | IN |