Bloomington Meadows Gp - in Bloomington - Psychiatric Residential Treatment Facility

Bloomington Meadows Gp - - NPI 1417968595

Bloomington Meadows Gp - is a Psychiatric Residential Treatment Facility in Bloomington, Indiana. Bloomington Meadows Gp - practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Bloomington Meadows Gp - is 1417968595. The last update date is 2011-01-31.

Bloomington Meadows Gp -'s current location address is 3600 N Prow Rd, Bloomington, Indiana. You can contact this provider via phone number 8123318000 and fax number 8123318985. The mailing address for Bloomington Meadows Gp - is 3600 N Prow Rd, Bloomington, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bloomington Meadows Gp -
Address 3600 N Prow Rd, Bloomington, Indiana
Phone Number 8123318000
Fax Number 8123318985
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Nyberg Becky
Telephone Number 8123318000

NPI Number Detail

NPI Number 1417968595
Provider Enumeration Date 2006-08-11
Last Updated Date 2011-01-31

Provider Mailing Address Detail

Address 3600 N Prow Rd
City Bloomington
State Indiana (IN)
Post Code 474041616
Phone Number 8123318000
Fax Number 8123318985

Provider's Primary Taxonomy Detail

Speciality Psychiatric Residential Treatment Facility
Taxonomy 323P00000X
Licence No 278652298
Definition:
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200457070A IN --

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FAQs about Bloomington Meadows Gp -

What is the unique identification code assigned to Bloomington Meadows Gp - by the Centers for Medicare & Medicaid Services?

The Bloomington Meadows Gp - has been issued the NPI (National Provider Identifier) 1417968595. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Bloomington Meadows Gp - is geographically located?

The Bloomington Meadows Gp - is physically situated at the following location: 3600 N Prow Rd, Bloomington, IN, 474041616.

What is the Bloomington Meadows Gp -'s specialty and taxonomy code?

The Bloomington Meadows Gp -'s specialty is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code is 323P00000X.

On what date was the 1417968595 assigned to Bloomington Meadows Gp -?

The Bloomington Meadows Gp - was issued its 1417968595 on 2006-08-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Bloomington Meadows Gp -, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bloomington Meadows Gp -, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-01-31.

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