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 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Hospitals / Psychiatric Hospital. Hospitals / Psychiatric Hospital is 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 406-1-PIP | Indiana |
| Hospitals / Psychiatric Hospital | 283Q00000X | 406-1-PIP | Indiana |
Profile Details
| NPI number | 1376691154 |
|---|---|
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376691154 | NPPES |
| Indiana | MEDICAID | 100276950 |
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