Progressivehealth Of Indiana, Llc
LBN: Progressivehealth Of Indiana, Llc
Progressivehealth Of Indiana, Llc is an health care organization with primary practice located at 4521 Lincoln Ave , Evansville IN 47714-0654. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty.
Progressivehealth Of Indiana, Llc can be contacted via phone (812) 477-3422, or through Bersch, Keith R via phone (812) 491-3856.
Contact Information
Primary practice address
4521 Lincoln Ave
Evansville IN 47714-0654
Phone: (812) 477-3422
Fax: (812) 475-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | ||
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X |
Profile Details
| NPI number | 1659596328 |
|---|---|
| LBN Legal business name | Progressivehealth Of Indiana, Llc |
| DBA Doing business as | |
| Authorized official | Bersch, Keith R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Jan 7th, 2021 - about 3 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 | 1659596328 | NPPES |
| Indiana | MEDICAID | 200873150B |
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