Organization
HANCOCK REGIONAL HOSPITAL
Active
Other names
Eagle Creek Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LONG (PRESIDENT/CEO)
(317) 462-5544
Entity
Organization
Contact information
Practice address
4102 SHORE DR, INDIANAPOLIS, IN 46254-2608
(317) 347-9051
(317) 347-9605
Mailing address
4102 SHORE DR, INDIANAPOLIS, IN 46254-2608
(317) 347-9051
(317) 347-9605
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
130106662
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200229930A
—
IN
Enumeration date
07/12/2013
Last updated
10/25/2017
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