Madison Center, Inc.

LBN: Madison Center, Inc.
Madison Center, Inc. is an health care organization with primary practice located at 403 E Madison St , South Bend IN 46617-2322. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Madison Center, Inc. can be contacted via phone (574) 234-0061, or through Clanton, Brenda J via phone (574) 283-1107.

Contact Information

Primary practice address
403 E Madison St South Bend IN 46617-2322
Phone: (574) 234-0061
Fax: (574) 283-1209
Website:
Map and Directions
Authorized official contact:
Name: Clanton, Brenda J
Phone: (574) 283-1107

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 406-14-PIP Indiana

Profile Details

NPI number 1174671952
LBN Legal business name Madison Center, Inc.
DBA Doing business as
Authorized official Clanton, Brenda J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2007
Last updated Apr 7th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174671952 NPPES
Indiana MEDICAID 100451660A

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