FRANCISCAN HEALTH RENSSELAER INC. NPI 1669558300

NPI Information

NPI: 1669558300
Provider Name: FRANCISCAN HEALTH RENSSELAER, INC.
Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization

CLIA Number: 15D2127749

Address:
1104 E GRACE ST
RENSSELAER, IN
ZIP 47978
Phone: (219) 866-5141
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FRANCISCAN HEALTH RENSSELAER, INC. is a medicare defined swing bed unit in Rensselaer, IN. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. FRANCISCAN HEALTH RENSSELAER, INC. NPI is 1669558300. The provider is registered as an organization entity type.

The provider's business location address is:

1104 E GRACE ST
RENSSELAER, IN
ZIP 47978-211
Phone: (219) 866-5141
Fax: (219) 866-3234

The provider's authorized official is Terrance E Wilson .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (765) 502-4440.

The CLIA number assigned to this NPI record is 15D2127749 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 10/17/2016.

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
1	275N00000X	Medicare Defined Swing Bed Unit		05-005072-2	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000097884	OTHER	INDIANA	BLUE CROSS ID
2	=========02	OTHER	INDIANA	TRICARE ID
3	=========001	MEDICAID	INDIANA
4	0150078	MEDICAID	TENNESSEE
5	100269660A	MEDICAID	INDIANA
6	909962000	MEDICAID	FLORIDA
7	0564195	MEDICAID	INDIANA
8	15Z324	MEDICARE OSCAR/CERTIFICATION	INDIANA
9	80536700	MEDICAID	WISCONSIN
10	0175224	MEDICAID	OHIO
11	=========	OTHER	INDIANA	COMMERCIAL ID NUMBERS
12	MEDICAID CARESOURCE	MEDICAID	INDIANA

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

NPI Synchronization or Removal

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