Madison St Hospital Pharmacy

LBN: State Of Indiana Auditor Of State
Madison St Hospital Pharmacy is an health care organization with primary practice located at 711 Green Rd , Madison IN 47250-2143. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. State Of Indiana Auditor Of State can be contacted via phone (812) 265-7460, or through Palmer, Timothy via phone (812) 265-7461.

Contact Information

Primary practice address
711 Green Rd Madison IN 47250-2143
Phone: (812) 265-7460
Fax: (812) 265-7463
Website:
Map and Directions
Authorized official contact:
Name: Palmer, Timothy
Phone: (812) 265-7461

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 60000778A Indiana

Profile Details

NPI number 1477596757
LBN Legal business name State Of Indiana Auditor Of State
DBA Doing business as Madison St Hospital Pharmacy
Authorized official Palmer, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 3rd, 2015 - about 9 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 1477596757 NPPES
Indiana MEDICAID 100272180A
Indiana Other 2024923
Indiana MEDICAID 100273320A
Indiana MEDICAID 200829500A

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