Provider Demographics
NPI:1104944768
Name:LARUE D. CARTER MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:LARUE D. CARTER MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-941-4050
Mailing Address - Street 1:2601 COLD SPRING RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-2202
Mailing Address - Country:US
Mailing Address - Phone:317-941-4050
Mailing Address - Fax:317-941-4244
Practice Address - Street 1:2601 COLD SPRING RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-2202
Practice Address - Country:US
Practice Address - Phone:317-941-4050
Practice Address - Fax:317-941-4244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital