Organization
RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO LLC
Active
Other names
Renaissance Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN M. OTT (COO - CHIEF OPERATION OFFICER)
(765) 282-8775
Entity
Organization
Contact information
Practice address
2401 UNIVERSITY AVE 8TH FLOOR NORTH TOWER, MUNCIE, IN 47303-3428
(765) 282-5822
(765) 289-5170
Mailing address
2401 UNIVERSITY AVE 8TH FLOOR NORTH TOWER, MUNCIE, IN 47303-3428
(765) 282-5822
(765) 289-5170
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
—
IN
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200509740
—
IN
05
—
200522670
—
IN
Enumeration date
07/22/2006
Last updated
11/02/2010
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