Organization
RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO LLC
Active
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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