COMMUNITY HOSPITAL OF IN INC NPI 1902067440

NPI Information

NPI: 1902067440
Provider Name: COMMUNITY HOSPITAL OF IN, INC

Other Name: GALLAHUE MENTAL HEALTH SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6626 E 75TH STREET
STE 500
INDIANAPOLIS, IN
ZIP 46250
Phone: (317) 621-7561
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COMMUNITY HOSPITAL OF IN, INC is a mental health (including community mental health center) clinic center in Indianapolis, IN. COMMUNITY HOSPITAL OF IN, INC NPI is 1902067440. The provider is registered as an organization entity type.
The provider Other Name Is Gallahue Mental Health Services.

The provider's business location address is:

6626 E 75TH STREET
STE 500
INDIANAPOLIS, IN
ZIP 46250-890
Phone: (317) 621-7561
Fax: (317) 355-6096

The provider's authorized official is Anthony Javorka .
The authorized official title is Authorized Official and has the following contact phone number (317) 621-1591.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 4/5/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	416	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
1	150074	MEDICARE PIN	INDIANA
2	100270530B	MEDICAID	INDIANA
3	150074	MEDICARE PIN

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: 4/28/2024

NPI Synchronization or Removal

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