Organization
HENRY COUNTY MEMORIAL HOSPITAL
Active
Other names
Bethel Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN RING (PRESIDENT/CEO)
(765) 521-1515
Entity
Organization
Contact information
Practice address
6015 KRATZVILLE ROAD, EVANSVILLE, IN 47710-4575
(812) 425-8182
(812) 422-7698
Mailing address
6015 KRATZVILLE ROAD, EVANSVILLE, IN 47710-4575
(812) 425-8182
(812) 422-7698
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
11-000436-1
IN
313M00000X
Nursing Facility/Intermediate Care Facility
11-000436-1
IN
314000000X
Skilled Nursing Facility
Primary
11-000436-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100275120
—
IN
Enumeration date
10/03/2005
Last updated
08/17/2022
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