HENRY COUNTY MEMORIAL HOSPITAL NPI 1164949947

NPI Information

NPI: 1164949947
Provider Name: HENRY COUNTY MEMORIAL HOSPITAL

Doing Business As: NEW CASTLE FAMILY & INTERNAL MEDICINE AT NORTHFIELD PARK

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
152 WITTENBRAKER AVE STE 500
NEW CASTLE, IN
ZIP 47362
Phone: (765) 599-3400
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HENRY COUNTY MEMORIAL HOSPITAL is a rural health clinic center in New Castle, IN. HENRY COUNTY MEMORIAL HOSPITAL NPI is 1164949947. The provider is registered as an organization entity type.
The provider Is Doing Business As New Castle Family & Internal Medicine At Northfield Park.

The provider's business location address is:

152 WITTENBRAKER AVE STE 500
NEW CASTLE, IN
ZIP 47362-035
Phone: (765) 599-3400
Fax: (765) 599-3426

The provider's authorized official is Brian Ring .
The authorized official title is President/ceo and has the following contact phone number (765) 521-1515.

The CLIA number assigned to this NPI record is 15D0681862 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2017 and was last updated on 8/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300011108	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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