FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC. NPI 1487099115

NPI Information

FAYETTE MEMORIAL HOSPITAL ASSOCIATION, INC. is a psychiatric hospital in Connersville, 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. FAYETTE MEMORIAL HOSPITAL ASSOCIATION, INC. NPI is 1487099115. The provider is registered as an organization entity type.
The provider Is Doing Business As Fayette Memorial Hospital Geri Psych.

The provider's business location address is:

450 ERIE AVE
CONNERSVILLE, IN
ZIP 47331-176
Phone: (765) 827-7890
Fax: (765) 825-6628

The provider's authorized official is Randall White .
The authorized official title is Ceo and has the following contact phone number (765) 827-7987.

The enumeration date for this NPI number is 5/8/2013 and was last updated on 10/18/2017.

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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