Organization
HENDRICKS COUNTY HOSPITAL
Active
Other names
Brickyard Healthcare - Petersburg 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
309 W PIKE AVE, PETERSBURG, IN 47567-8755
(812) 354-8833
Mailing address
309 W PIKE AVE, PETERSBURG, IN 47567-8755
(812) 354-8833
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217051
ANTHEM BCBS
IN
05
—
100266280 A
—
IN
05
—
100266280-B
—
IN
Enumeration date
05/25/2006
Last updated
06/14/2022
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