NPI 1013060714 EAST INDIANA TREATMENT CENTER GREENDALE IN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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East Indiana Treatment Center - NPI: 1013060714

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: EAST INDIANA TREATMENT CENTER
NPI Number: 1013060714
Entity Type Code: Organizational (2)
Authorized Official Name: MARY ANN DETMER
(CLINIC DIRECTOR)
Mailing Address: 816 Rudolph Way
Greendale
State: IN US
Postal Code: 470258312
Phone Number: 8125371668
Fax Number: 8125392368
NPI Enumeration Date: 01/18/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QM2800X
License Number: 10780ASR
Healthcare Provider Taxonomy:
(Secondary)
X
State: IN
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Methadone Clinic
Taxonomy Definition:
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.


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