Organization
HANCOCK REGIONAL HOSPITAL
Active
Other names
Wildwood Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LONG (PRESIDENT/CEO)
(317) 462-5544
Entity
Organization
Contact information
Practice address
7301 E 16TH ST, INDIANAPOLIS, IN 46219-2308
(317) 353-1290
(317) 351-2579
Mailing address
7301 E 16TH ST, INDIANAPOLIS, IN 46219-2308
(317) 353-1290
(317) 351-2579
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
14-000227-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267520C
—
IN
Enumeration date
01/10/2014
Last updated
10/06/2022
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