Active NPI
Renaissance Specialty Hospital of Central Indiana Operations Co LLC
- Special Hospital
- Muncie, IN
National Provider Identifier
1235150418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- Legal business name
- RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO LLC
- Practice address
- 2401 University Ave 8TH Floor North Tower
Muncie, IN 47303-3428 - Phone
- (765) 282-5822
- Fax
- (765) 289-5170
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryan M. Ott
- Title
- Coo - Chief Operation Officer
- Phone
- (765) 282-8775
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | IN | ||
| Special Hospital | 284300000X | Primary |
Addresses
Primary practice location
2401 University Ave 8TH Floor North Tower
Muncie, IN 47303-3428
Mailing address
2401 University Ave 8TH Floor North Tower
Muncie, IN 47303-3428
Phone (765) 282-5822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200509740 | Medicaid | IN | |
| 200522670 | Medicaid | IN |
Other names 1
- Renaissance Specialty Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288656000000",
"number": "1235150418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 UNIVERSITY AVE 8TH FLOOR NORTH TOWER",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-282-5822",
"fax_number": "765-289-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 UNIVERSITY AVE 8TH FLOOR NORTH TOWER",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-282-5822",
"fax_number": "765-289-5170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2010-11-02",
"status": "A",
"authorized_official_last_name": "OTT",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "COO - CHIEF OPERATION OFFICER",
"authorized_official_telephone_number": "765-282-8775",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200509740",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200522670",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Renaissance Specialty Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.