Brickyard Healthcare - Portage Care Center

LBN: Hendricks County Hospital
Brickyard Healthcare - Portage Care Center is an health care organization with primary practice located at 3175 Lancer St , Portage IN 46368-4407. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Hendricks County Hospital can be contacted via phone (219) 762-9571, or through Speer, Kevin P via phone (317) 745-4451.

Contact Information

Primary practice address
3175 Lancer St Portage IN 46368-4407
Phone: (219) 762-9571
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Speer, Kevin P
Phone: (317) 745-4451

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1275703092
LBN Legal business name Hendricks County Hospital
DBA Doing business as Brickyard Healthcare - Portage Care Center
Authorized official Speer, Kevin P
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2008
Last updated Jun 14th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275703092 NPPES
Indiana MEDICAID 100290980

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