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RICHARD L. ROUDEBUSH VA MEDICAL CENTER
NPI 1912340365
Military Hospital in Muncie, IN

Active since April 15, 2013
4601 E CENTENNIAL AVE, MUNCIE, IN 47303(317) 448-0843 Get Directions Write a Review

NPPES record last updated: April 15, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Military Hospital

About RICHARD L. ROUDEBUSH VA MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Richard L. Roudebush Va Medical Center, a provider established in Muncie, Indiana operating as a Military Hospital. The healthcare provider is registered in the NPI registry with number 1912340365 assigned on April 2013. The practitioner's primary taxonomy code is 286500000X with license number 30006732A (IN). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Christopher Harlan Rrt/crtt (Rrt)

NPI
1912340365 Verify this NPI
Provider Name
RICHARD L. ROUDEBUSH VA MEDICAL CENTER
Entity Type
Organization
Location Address
4601 E CENTENNIAL AVE MUNCIE, IN 47303
Location Phone
(317) 448-0843
Mailing Address
4601 E CENTENNIAL AVE MUNCIE, IN 47303
Mailing Phone
(317) 448-0843
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-15-2013
Last Update Date
04-15-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Hospital

Taxonomy Code
286500000X
Type
Hospitals
License No.
30006732A
License State
IN
Taxonomy Description
A health care facility operated by the Department of Defense.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CHRISTOPHER HARLAN RRT/CRTT

Authorized Official Title
RRT
Authorized Official Phone
(317) 448-0843

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Frequently Asked Questions

What is RICHARD L. ROUDEBUSH VA MEDICAL CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1912340365, enumerated as an "organization" on April 15, 2013.

Where is the provider located?

The provider is located at 4601 E CENTENNIAL AVE MUNCIE, IN 47303 and the phone number is (317) 448-0843.

What is the provider's specialty?

Military Hospital with taxonomy code 286500000X.