# HENRY COUNTY MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** West Bend Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871674556
- **Authorized official:** STEVEN VAN CAMP CPA (CEO OF ASC)
- **Authorized official phone:** (317) 788-2500

## Contact information

- **Practice address:** 4600 W WASHINGTON ST, SOUTH BEND, IN 46619
- **Practice address phone:** (574) 282-1294
- **Practice address fax:** (574) 251-2260
- **Mailing address:** 4600 W WASHINGTON ST, SOUTH BEND, IN 46619-2320
- **Mailing address phone:** (574) 282-1294
- **Mailing address fax:** (574) 251-2260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 05-000246-1 | IN | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 06/25/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100275420 | — | IN |