Creekside Village

LBN: The Health And Hospital Corporation Of Marion County
Creekside Village is an health care organization with primary practice located at 1420 E Douglas Rd , Mishawaka IN 46545. 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. The Health And Hospital Corporation Of Marion County can be contacted via phone (574) 307-7200, or through Van Camp, Steve via phone (317) 788-2500.

Contact Information

Primary practice address
1420 E Douglas Rd Mishawaka IN 46545
Phone: (574) 307-7200
Fax: (574) 271-0193
Website:
Map and Directions
Authorized official contact:
Name: Van Camp, Steve CPA
Phone: (317) 788-2500

Health care specialties

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

Profile Details

NPI number 1578809398
LBN Legal business name The Health And Hospital Corporation Of Marion County
DBA Doing business as Creekside Village
Authorized official Van Camp, Steve CPA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2012
Last updated Sep 25th, 2020 - about 4 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 1578809398 NPPES
Indiana MEDICAID 201002500A

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