FAIRBANKS HOSPITAL INC. NPI 1619072493

NPI Information

FAIRBANKS HOSPITAL, INC. is a psychiatric hospital in Indianapolis, IN. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. FAIRBANKS HOSPITAL, INC. NPI is 1619072493. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fairbanks.

The provider's business location address is:

8102 CLEARVISTA PKWY
INDIANAPOLIS, IN
ZIP 46256-661
Phone: (317) 849-8222
Fax: (317) 849-1455

The provider's authorized official is Holly A Millard .
The authorized official title is Evp Finance and has the following contact phone number (317) 355-5860.

The CLIA number assigned to this NPI record is 15D0354715 - other - alcohol & drug tx with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 8/13/2020.

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:

Other Identifiers

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

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