SOUTHERN INDIANA TREATMENT CENTER LLC NPI 1932253812

NPI Information

NPI: 1932253812
Provider Name: SOUTHERN INDIANA TREATMENT CENTER, LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN
ZIP 47111
Phone: (812) 256-4686
Get Directions

SOUTHERN INDIANA TREATMENT CENTER, LLC is a methadone clinic center in Charlestown, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. SOUTHERN INDIANA TREATMENT CENTER, LLC NPI is 1932253812. The provider is registered as an organization entity type.

The provider's business location address is:

7509 CHARLESTOWN PIKE
CHARLESTOWN, IN
ZIP 47111-623
Phone: (812) 256-4686
Fax: (812) 256-4415

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/11/2023.

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	261Q00000X	Clinic/Center		1076-0-ASR	INDIANA	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	1076-0-ASR	INDIANA	No
3	261QM2800X	Clinic/Center	Methadone	1076-0-ASR	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	300009020	MEDICAID	INDIANA
2	201387960A	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »