Organization
HENDRICKS COUNTY HOSPITAL
Active
Other names
Brickyard Healthcare - Lincoln Hills Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P SPEER (PRESIDENT/CEO)
(317) 745-4451
Entity
Organization
Contact information
Practice address
402 19TH ST, TELL CITY, IN 47586-1110
(812) 547-3427
(812) 547-3100
Mailing address
402 19TH ST, TELL CITY, IN 47586-1110
(812) 547-3427
(812) 547-3100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-000411-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388170
ANTHEM INDIANA
IN
05
—
1002 75100-B
—
IN
Enumeration date
05/16/2006
Last updated
06/14/2022
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