STATE OF INDIANA AUDITOR OF STATE NPI 1902856768

NPI Information

NPI: 1902856768
Provider Name: STATE OF INDIANA, AUDITOR OF STATE

Doing Business As: LOGANSPORT STATE HOSPITAL

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1098 S STATE ROAD 25
LOGANSPORT, IN
ZIP 46947
Phone: (574) 722-4141
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STATE OF INDIANA, AUDITOR OF STATE is an intermediate care facility mentally retarded in Logansport, IN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. STATE OF INDIANA, AUDITOR OF STATE NPI is 1902856768. The provider is registered as an organization entity type.
The provider Is Doing Business As Logansport State Hospital.

The provider's business location address is:

1098 S STATE ROAD 25
LOGANSPORT, IN
ZIP 46947-723
Phone: (574) 722-4141
Fax: (574) 735-3414

The provider's authorized official is Robert E. Clover .
The authorized official title is Assistant Superintendent and has the following contact phone number (574) 737-3611.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/22/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			INDIANA	Yes

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

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