MADISON CENTER, INC. (NPI# 1073565131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073565131 |
| Entity Type | Organization |
| Organization Name | MADISON CENTER, INC. |
| Practice Address |
403 E Madison St South Bend IN 46617-2322 |
| Practice Telephone | 5742831107 |
| Practice Fax Number | 5742831131 |
| Mailing Telephone | 5742831107 |
| Mailing Fax Number | 5742831131 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ANDREW J POOLE III (CFO) |
| Authorized Official Telephone | 5742831254 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | IN | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265698120 | Madison Center, Inc. | Community/Behavioral Health | 403 E Madison St, South Bend, IN 46617-2322 | 2008-07-31 |
| 1750411872 | Madison Center, Inc. | Clinic/Center | 403 E Madison St, South Bend, IN 46617-2322 | 2007-03-07 |
| 1376691154 | Madison Center, Inc. | Clinic/Center | 403 E Madison St, South Bend, IN 46617-2322 | 2007-01-08 |
| 1174671952 | Madison Center, Inc. | Clinic/Center | 403 E Madison St, South Bend, IN 46617-2322 | 2007-01-08 |
| 1104974989 | Madison Center, Inc. | Psychiatric Residential Treatment Facility | 403 E Madison St, South Bend, IN 46617-2322 | 2007-01-08 |
| Street Address |
403 E MADISON ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164497962 | Phillip Coffey | Social Worker | 403 E Madison St, South Bend, IN 46617-2322 | 2006-02-23 |
| 1134534456 | Memorial Hospital of South Bend, Inc | General Acute Care Hospital | 403 E Madison St, South Bend, IN 46617-2322 | 2014-06-25 |
| 1225310402 | Susan K Henderson | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2011-09-14 |
| 1154633550 | Meladie A Langham | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-07-14 |
| 1497067896 | Kami S Brenneman | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-07-14 |
| 1396064309 | Casandra Mcgrew | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-06-01 |
| 1124347133 | Amanda Jardine | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-06-01 |
| 1104141985 | Aaron T Gray | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-04-05 |
| 1346579679 | Linda S Hoppel | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2009-12-16 |
| 1235468570 | Michelle M Peters | Social Worker | 403 E Madison St, South Bend, IN 46617-2322 | 2009-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| 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. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649345448 | Riverside Hospital Corporation | Psychiatric Hospital | 533 N Niles Ave, South Bend, IN 46617-1919 | 2006-11-21 |
| 1790254415 | Neuropsychiatric Hospitals, LLC | Psychiatric Hospital | 112 W Jefferson Blvd Ste 600, South Bend, IN 46601-1921 | 2018-11-26 |
| 1346606449 | Neurology and Pain Management | Psychiatric Hospital | 112 W Jefferson Blvd, South Bend, IN 46601-1923 | 2016-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614825 | Indiana Behavioral Innovations LLC | Psychiatric Hospital | 1051 Southfield Dr, Plainfield, IN 46168 | 2020-09-17 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1215310628 | Selah House, Inc | Psychiatric Hospital | 2541 Northshore Blvd, Anderson, IN 46011-9600 | 2015-07-02 |
| 1811337116 | Haven Behavioral Services of Indianapolis, LLC | Psychiatric Hospital | 6720 Parkdale Pl, Suite 100, Indianapolis, IN 46254-4668 | 2013-07-01 |
| 1477832772 | Sycamore Springs, LLC | Psychiatric Hospital | 833 Park East Blvd, Lafayette, IN 47905-0785 | 2011-08-04 |
| 1457594830 | Brentwood Meadows, LLC | Psychiatric Hospital | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2009-04-14 |
| 1891966065 | Harsha Behavioral Center, Inc | Psychiatric Hospital | 1980 E Woodsmall Dr, Terre Haute, IN 47802-4937 | 2008-03-17 |
| 1699974568 | Selah House, Inc | Psychiatric Hospital | 1180 N. 300 East, Anderson, IN 46012 | 2007-07-12 |
| 1215058151 | Midwest Center for Youth & Families | Psychiatric Hospital | 1012 W Indiana St, Kouts, IN 46347-9703 | 2007-04-02 |
| 1124153911 | Options Treatment Acquisition Corporation | Psychiatric Hospital | 5602 Caito Dr, Indianapolis, IN 46226-1346 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.