| NPI | 1295772093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY COSTELLO CFO 574-647-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IN 06-005053) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 005053) |
| 225X00000X Occupational Therapist (Licence: IN 005053) | |
| 261QC1500X Clinic/Center, Community Health (Licence: IN 005053) | |
| 273R00000X Psychiatric Unit | |
| 273Y00000X Rehabilitation Unit (Licence: IN 06-005053) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 005053) | |
| 3416A0800X Ambulance, Air Transport (Licence: IN 005053) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-05-10 |