# RICHARD L. ROUDEBUSH VA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912340365
- **Authorized official:** MR. CHRISTOPHER HARLAN RRT/CRTT (RRT)
- **Authorized official phone:** (317) 448-0843

## Contact information

- **Practice address:** 4601 E CENTENNIAL AVE, MUNCIE, IN 47303-2610
- **Practice address phone:** (317) 448-0843
- **Mailing address:** 4601 E CENTENNIAL AVE, MUNCIE, IN 47303-2610
- **Mailing address phone:** (317) 448-0843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 30006732A | IN | Yes |

## Other

- **Enumeration date:** 04/15/2013
- **Last updated:** 04/15/2013