Organization
HENDRICKS COUNTY HOSPITAL
Active
Parent organization
HENDRICKS COUNTY HOSPITAL
Other names
GREEN ST FAMILY MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENDRICKS COUNTY HOSPITAL
Authorized official
HEATHER RUTHERFORD (CREDENTIALING COORDINATOR)
(317) 837-5566
Entity
Organization
Contact information
Practice address
1080 N GREEN ST STE 200, BROWNSBURG, IN 46112-2417
(317) 386-5628
(317) 386-5629
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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