Organization
HENDRICKS COUNTY HOSPITAL
Active
Other names
Brickyard Healthcare - Bloomington 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
155 E BURKS DR, BLOOMINGTON, IN 47401-8459
(812) 332-4437
(812) 335-3672
Mailing address
155 E BURKS DR, BLOOMINGTON, IN 47401-8459
(812) 332-4437
(812) 335-3672
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-000177-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002 89860-B
—
IN
05
—
100289860
—
IN
Enumeration date
05/16/2006
Last updated
06/15/2022
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