Organization
HENRY COUNTY MEMORIAL HOSPITAL
Active
Other names
Good Samaritan Home & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE VAN CAMP CPA (CEO OF ASC)
(317) 788-2500
Entity
Organization
Contact information
Practice address
231 N JACKSON STREET, OAKLAND CITY, IN 47660-0010
(812) 749-4774
(812) 749-6396
Mailing address
231 N JACKSON STREET, OAKLAND CITY, IN 47660-0010
(812) 749-4774
(812) 749-6396
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10-000327-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200147
ANTHEM
IN
05
—
100273920B
—
IN
Enumeration date
12/12/2005
Last updated
08/26/2024
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