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SOUTHERN INDIANA TREATMENT CENTER NPI 1205293701


NPI Information

NPI: 1205293701
Provider Name: SOUTHERN INDIANA TREATMENT CENTER
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 15D1045766

Address:
6509 CHARLESTOWN PIKE
CHARLESTOWN, IN
ZIP 47111
Phone: (812) 256-4686
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SOUTHERN INDIANA TREATMENT CENTER is a nursing care in Charlestown, IN. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. SOUTHERN INDIANA TREATMENT CENTER NPI is 1205293701. The provider is registered as an organization entity type.

The provider's business location address is:

6509 CHARLESTOWN PIKE
CHARLESTOWN, IN
ZIP 47111-622
Phone: (812) 256-4686
Fax: (812) 256-3949

The provider's authorized official is Debra Lynn Fife .
The authorized official title is Lpn and has the following contact phone number (812) 256-4686.

The CLIA number assigned to this NPI record is 15D1045766 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2016 and was last updated on 1/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing Care27025026AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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