Organization
HENDRICKS COUNTY HOSPITAL
Active
Other names
Brickyard Healthcare - Fountainview 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
609 TANGLEWOOD LN, MISHAWAKA, IN 46545-2625
(574) 277-2500
Mailing address
609 TANGLEWOOD LN, MISHAWAKA, IN 46545-2625
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290310
—
IN
Enumeration date
02/06/2008
Last updated
06/14/2022
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