Organization
RUSH MEMORIAL HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY K SMITH (CEO)
(765) 932-7513
Entity
Organization
Contact information
Practice address
1230 N MAIN ST, RUSHVILLE, IN 46173-1114
(765) 932-7490
Mailing address
1230 N MAIN ST, RUSHVILLE, IN 46173-1114
(765) 932-7490
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098269
ANTHEM
IN
Enumeration date
03/22/2006
Last updated
08/22/2020
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