Active NPI
Hendricks County Hospital
- Family Medicine Physician
- Greencastle, IN
National Provider Identifier
1821691650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HENDRICKS COUNTY HOSPITAL
- Practice address
- 1033 Indianapolis Rd Ste 110
Greencastle, IN 46135-2407 - Phone
- (765) 653-4003
- NPI assigned
- Nov 16, 2020
- 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
- Heather Rutherford
- Title
- Credentialing Coordinator
- Phone
- (317) 837-5566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1033 Indianapolis Rd Ste 110
Greencastle, IN 46135-2407
Mailing address
1100 Southfield Dr Ste 1370
Plainfield, IN 46168-4300
Phone (317) 837-5566
Other names 1
- Greencastle Family Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040811000309 | IN | Part B Supplier - Clinic/Group Practice | 4880505528 |
Receives reassigned benefits from 431 practitioners This NPI is an additional NPI on the enrollment Practice locations: Brownsburg, IN; Danville, IN; Greencastle, IN; Lizton, IN; Plainfield, IN; Avon, IN; Bainbridge, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2011483 | Greencastle Family Health | Certificate of waiver | Aug 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
1148 Indianapolis Rd
Greencastle, IN 46135
Phone (317) 653-4003
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Avon, IN
- NPI 1588619035
-
- Physician Assistant
- Danville, IN
- NPI 1982151262
-
- Family Nurse Practitioner
- Greencastle, IN
- NPI 1790972248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757894400000",
"number": "1821691650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SOUTHFIELD DR STE 1370",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461684300",
"telephone_number": "317-837-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 INDIANAPOLIS RD STE 110",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461352407",
"telephone_number": "765-653-4003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDRICKS COUNTY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-16",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A",
"authorized_official_last_name": "RUTHERFORD",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "317-837-5566"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Greencastle Family Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greencastle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.