East Indiana Treatment Center, Llc
LBN: East Indiana Treatment Center, Llc
East Indiana Treatment Center, Llc is an health care organization with primary practice located at 816 Rudolph Way , Greendale IN 47025-8312. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty.
East Indiana Treatment Center, Llc can be contacted via phone (812) 537-1668, or through Morris, Peter F via phone (615) 721-1297.
Contact Information
Primary practice address
816 Rudolph Way
Greendale IN 47025-8312
Phone: (812) 537-1668
Fax: (812) 537-1625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 10780ASR | Indiana |
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | 10780ASR | Indiana |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 10780ASR | Indiana |
Profile Details
| NPI number | 1013060714 |
|---|---|
| LBN Legal business name | East Indiana Treatment Center, Llc |
| DBA Doing business as | |
| Authorized official | Morris, Peter F |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 31st, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013060714 | NPPES |
| Ohio | MEDICAID | 0279713 | |
| Ohio | MEDICAID | 201345410A | |
| Ohio | MEDICAID | 3000012052 |
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