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CENTRAL INDIANA-AMG SPECIALTY HOSPITAL LLC NPI 1962761379


NPI Information

NPI: 1962761379
Provider Name: CENTRAL INDIANA-AMG SPECIALTY HOSPITAL, LLC
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 15D1034745

Address:
2401 W UNIVERSITY AVE
5TH FLOOR EAST TOWER
MUNCIE, IN
ZIP 47303
Phone: (765) 751-5253
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CENTRAL INDIANA-AMG SPECIALTY HOSPITAL, LLC is a long term care hospital in Muncie, IN. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. CENTRAL INDIANA-AMG SPECIALTY HOSPITAL, LLC NPI is 1962761379. The provider is registered as an organization entity type.

The provider's business location address is:

2401 W UNIVERSITY AVE
5TH FLOOR EAST TOWER
MUNCIE, IN
ZIP 47303-428
Phone: (765) 751-5253
Fax: (765) 289-5170

The provider's authorized official is Jessica L. Mcgee .
The authorized official title is Cfo and has the following contact phone number (337) 269-9566.

The CLIA number assigned to this NPI record is 15D1034745 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2012 and was last updated on 11/29/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282E00000XLong Term Care HospitalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1152025MEDICARE OSCAR/CERTIFICATIONINDIANA

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

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