Organization
HENRY COUNTY MEMORIAL HOSPITAL
Active
Other names
Hickory Creek at Madison
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN RING (PRESIDENT/CEO)
(765) 521-1515
Entity
Organization
Contact information
Practice address
1945 CRAGMONT ST, MADISON, IN 47250-2257
(812) 273-4696
(812) 273-6263
Mailing address
1945 CRAGMONT ST, MADISON, IN 47250-2257
(812) 273-4696
(812) 273-6263
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-000348-2
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288390
—
IN
Enumeration date
07/02/2006
Last updated
08/16/2022
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