THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY (NPI# 1952452815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952452815 |
Entity Type | Organization |
Organization Name | THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY |
Other Organization Name | FAIRWAY VILLAGE |
Practice Address |
2630 S Keystone Ave Indianapolis IN 46203 |
Mailing Address |
2630 S Keystone Ave Indianapolis IN 46203-5563 |
Practice Telephone | 3177878951 |
Practice Fax Number | 3177802550 |
Mailing Telephone | 3177878951 |
Mailing Fax Number | 3177802550 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-09-25 |
Authorized Official Name | STEVE VAN CAMP (CFO OF ASC) |
Authorized Official Telephone | 3177882500 |
Authorized Official Credential | CPA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 06-004700-1 | IN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100266630C | 05 |
Other Name | Type Code |
---|---|
Fairway Village | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740895390 | The Health and Hospital Corporation of Marion County | Assisted Living Facility | 2002 Heritage Park Dr, Fort Wayne, IN 46805-5806 | 2020-09-10 |
1477188217 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1112 Southeastern Ave, Indianapolis, IN 46202-3947 | 2020-03-11 |
1598320566 | The Health and Hospital Corporation of Marion County | Nurse Practitioner | 9165 Otis Ave Ste 112, Indianapolis, IN 46216-2311 | 2019-05-06 |
1841855897 | The Health and Hospital Corporation of Marion County | Nurse Practitioner | 6920 Parkdale Pl Ste 107, Indianapolis, IN 46254-5604 | 2019-05-06 |
1073178059 | The Health and Hospital Corporation of Marion County | Nurse Practitioner | 2506 Willowbrook Pkwy Ste 299, Indianapolis, IN 46205-1548 | 2019-05-06 |
1639581069 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1650 N College Ave Ste B, Indianapolis, IN 46202-1715 | 2014-05-20 |
1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
1093054447 | The Health and Hospital Corporation of Marion County | Clinic/Center | 6940 Michigan Rd Ste 135, Indianapolis, IN 46268-2800 | 2013-02-05 |
1831438282 | The Health and Hospital Corporation of Marion County | Clinic/Center | 3840 N Sherman Dr Ste 150, Indianapolis, IN 46226-4462 | 2013-02-05 |
1750686093 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1200 N State Road 135, Greenwood, IN 46142 | 2011-01-18 |
Street Address |
2630 S KEYSTONE AVE |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194362665 | Yvonne Irene Wince | Pharmacist | 608 Twin Aire Dr, Indianapolis, IN 46203 | 2019-12-04 |
1730635681 | Kensie Waller | Registered Nurse | 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203 | 2016-08-31 |
1629285820 | 21st Century Charter School At Fountain Square | Local Education Agency (LEA) | 1615 South Barth Ave, Indianapolis, IN 46203 | 2007-05-17 |
1912124918 | Richard Walter James | Chiropractor | 3850 S Emerson, Suite F, Indianapolis, IN 46203 | 2007-04-19 |
1245386655 | Gary Richard Billingsley | Chiropractor | 4940 S Emerson Ave, Indianapolis, IN 46203 | 2007-01-26 |
1245324755 | Rtc Resource Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-02 |
1548776925 | Erin Tofani | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2017-12-20 |
1114464575 | Abigail G Boris | Registered Nurse | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2017-01-24 |
1285184481 | Kelli Joy Bovenkerk | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2016-10-12 |
1346626876 | Thomas Edwin Puckett Jr. | Nurse Practitioner | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2015-08-06 |
Find all providers in zip 46203 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619337839 | Hancock Regional Hospital | Skilled Nursing Facility | 4904 War Admiral Dr, Indianapolis, IN 46237-9737 | 2016-03-01 |
1568881480 | Rabecca Howard | Skilled Nursing Facility | 5404 Georgetown Rd, Indianapolis, IN 46254-3781 | 2014-04-08 |
1972939361 | Witham Memorial Hospital | Skilled Nursing Facility | 8405 Clearvista Pl, Indianapolis, IN 46256-3737 | 2013-09-18 |
1396171781 | Witham Memorial Hospital | Skilled Nursing Facility | 1635 N Arlington Ave, Indianapolis, IN 46218-5181 | 2013-09-18 |
1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
1710205141 | Riverview Hospital | Skilled Nursing Facility | 3525 East Hanna Avenue, Indianapolis, IN 46237 | 2010-05-10 |
1619176641 | Witham Memorial Hospital | Skilled Nursing Facility | 9480 Priority Way West Dr, Indianapolis, IN 46240-1470 | 2007-07-11 |
1730384009 | Hp Pleasant Run, Inc. | Skilled Nursing Facility | 7465 Madison Ave, Indianapolis, IN 46227-6564 | 2007-06-18 |
1013133776 | Daviess County Hospital | Skilled Nursing Facility | 2926 N. Capitol Ave, Indianapolis, IN 46208-0356 | 2007-04-18 |
1265515266 | Daviess County Hospital | Skilled Nursing Facility | 1747 N Rural St, Indianapolis, IN 46218-4425 | 2006-10-23 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46203 |
Please comment or provide details below to improve the information on THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.