Evansville Treatment Center, Llc
LBN: Evansville Treatment Center, Llc
Evansville Treatment Center, Llc is an health care organization with primary practice located at 1510 W Franklin St , Evansville IN 47710-1032. 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.
Evansville Treatment Center, Llc can be contacted via phone (812) 424-0223, or through Farley, Brian Phillip via phone (615) 861-6000.
Contact Information
Primary practice address
1510 W Franklin St
Evansville IN 47710-1032
Phone: (812) 424-0223
Fax: (812) 424-0226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 1361-0-ASR | Indiana |
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | RE0201943 | Indiana |
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | 1361-0-ASR | Indiana |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1194878587 |
|---|---|
| LBN Legal business name | Evansville Treatment Center, Llc |
| DBA Doing business as | |
| Authorized official | Farley, Brian Phillip |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Aug 10th, 2023 - about 2 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 | 1194878587 | NPPES |
| Indiana | MEDICAID | 201359750A | |
| Indiana | MEDICAID | 3000009982 |
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