Organization
THE BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Active
Other names
Howard Regional Health System - Bernard Fogelson, MD
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE T BROWN (CHIEF OPERATING OFFICER)
(765) 453-8179
Entity
Organization
Contact information
Practice address
3611 S REED RD, SUITE 103, KOKOMO, IN 46902-3828
(765) 864-5786
(765) 864-5787
Mailing address
PO BOX 7101, INDIANAPOLIS, IN 46207-7101
(765) 864-5786
(765) 864-5787
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
01033570A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01058072A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200011260E
—
IN
Enumeration date
08/23/2006
Last updated
01/30/2013
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