Organization
HANCOCK REGIONAL HOSPITAL
Active
Other names
Waterford Crossing
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN V. LONG (PRESIDENT & CEO)
(317) 462-5544
Entity
Organization
Contact information
Practice address
1332 WATERFORD CIR, GOSHEN, IN 46526-6009
(574) 534-3920
(574) 534-7548
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
(502) 855-8708
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
17-011150-1
IN
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200831020
—
IN
05
—
200831020A
—
IN
Enumeration date
06/16/2006
Last updated
07/21/2022
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