Hancock Regional Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HANCOCK REGIONAL HOSPITAL

Doing business as

Knightstown Healthcare Center

Practice address

437 N McCullum St
Knightstown, IN 46148-1138

Phone

(765) 345-5572

Fax

(317) 468-6148

NPI assigned

Jul 8, 2006

Last updated

Aug 26, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rick Edwards

Title

Cfo

Phone

(317) 468-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Knightstown Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942233598. Details of each certification follow.

• CCN 153987 Rural health clinic · Active · Details

Rural health clinic certification: CCN 153987

Legal name

HANCOCK REGIONAL HOSPITAL

Doing business as

KNIGHTSTOWN HEALTH CARE CENTER

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Sep 22, 1998

Last certification

Aug 21, 2023

Ownership / control type

2B

Organization structure

OtherNon-profit

Incorporated

Jul 1, 1966 in IN

Enrollment address

224 W Main St
Knightstown, IN 46148-1260

Related CCNs

150037

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Hancock Regional Hospital

  • General Acute Care Hospital
  • Greenfield, IN
  • NPI 1467485003

  Parent provider

  Provider of Services

Tax ID family

Knightstown Family Heal44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

• Hancock OB Anesthesia

  • Anesthesiology Physician
  • Greenfield, IN
  • NPI 1093846941
  NPD tax ID
• Hancock Regional Hospital

  dba Allison Pointe Healthcare Center

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1013358563
  NPD tax ID
• Hancock Regional Hospital

  • Durable Medical Equipment & Medical Supplies
  • Greenfield, IN
  • NPI 1023402567
  NPD tax ID
• Hancock Regional Hospital

  dba Avalon Springs Health Campus

  • Skilled Nursing Facility
  • Valparaiso, IN
  • NPI 1043582554
  NPD tax ID
• Hancock Regional Hospital

  dba Hancock Well-Being at Work-Gateway

  • Health Service Clinic/Center
  • Greenfield, IN
  • NPI 1124894241
  NPD tax ID
• Hancock Regional Hospital

  dba Hancock Well Being at Work-Greenfield

  • Health Service Clinic/Center
  • Greenfield, IN
  • NPI 1154197267
  NPD tax ID
• Hancock Regional Hospital

  dba Bethany Pointe Health Campus

  • Skilled Nursing Facility
  • Anderson, IN
  • NPI 1215045000
  NPD tax ID
• Hancock Regional Hospital

  dba Wellbrooke of Westfield

  • Skilled Nursing Facility
  • Westfield, IN
  • NPI 1245674423
  NPD tax ID
• Hancock Regional Hospital

  • General Acute Care Hospital
  • Greenfield, IN
  • NPI 1255418356
  NPD tax ID
• Hancock Regional Hospital

  • General Acute Care Hospital
  • McCordsville, IN
  • NPI 1255752358
  NPD tax ID
• Hancock Regional Hospital

  dba Southwood Healthcare Center

  • Skilled Nursing Facility
  • Terre Haute, IN
  • NPI 1255753141
  NPD tax ID
• Hancock Regional Hospital

  dba Springhurst Health Campus

  • Skilled Nursing Facility
  • Greenfield, IN
  • NPI 1306044383
  NPD tax ID

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 31

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1942233598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401270",
            "telephone_number": "317-462-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 N MCCULLUM ST",
            "city": "KNIGHTSTOWN",
            "state": "IN",
            "postal_code": "461481138",
            "telephone_number": "765-345-5572",
            "fax_number": "317-468-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-468-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200156500A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knightstown Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles a Beard Memorial School Corporation
• Amanda Davis, PHD, LMHC, NCC
• Sarah Elizabeth Garthwaite
• Jackie L. Griffin, RPH
• Stacey Hall, RPH
• Henry County Memorial Hospital (Henry Community Health Primary Care at Knightstown)
• Hook-Superx LLC (CVS Pharmacy #06661)
• Knightstown Dental PC (New Castle Dental)
• Knightstown Family Dentistry
• Kylie Langdon, DDS

• Rural Health Clinic/Center in Knightstown, IN
• Providers in Knightstown, IN by specialty
• Rural Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.