Organization
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Active
Other names
Bethlehem Woods Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE VAN CAMP CPA (CFO OF ASC)
(317) 788-2500
Entity
Organization
Contact information
Practice address
4430 ELSDALE DR, FORT WAYNE, IN 46835
(260) 485-8157
(260) 486-9008
Mailing address
4430 ELSDALE DR, FORT WAYNE, IN 46835-2277
(260) 485-8157
(260) 486-9008
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
04-000260-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267820
—
IN
Enumeration date
09/30/2005
Last updated
09/25/2020
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