STATE OF INDIANA - AUDITOR OF STATE (NPI# 1093933236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093933236 |
Entity Type | Organization |
Organization Name | STATE OF INDIANA - AUDITOR OF STATE |
Other Organization Name | RICHMOND STATE HOSPITAL |
Practice Address |
498 Nw 18th St Richmond IN 47374-2851 |
Practice Telephone | 7659660511 |
Practice Fax Number | 7659359503 |
Mailing Telephone | 7659660511 |
Mailing Fax Number | 7659359507 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2014-05-05 |
Authorized Official Name | DAVID M SHELFORD (ASSISTANT SUPERINTENDENT) |
Authorized Official Telephone | 7659359206 |
Is Organization Subpart | Y |
Parent Organization Name | INDIANA STATE FAMILY & SOCIAL SERVICE ADM |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100256720A | 05 |
Other Name | Type Code |
---|---|
RICHMOND STATE HOSPITAL | Doing Business As Name - Organization |
Street Address |
498 NW 18TH ST |
City | RICHMOND |
State | IN |
Zip Code | 47374-2851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144288945 | Raul Burciaga | Psychiatry & Neurology | 498 Nw 18th St, Richmond, IN 47374-2851 | 2006-05-02 |
1417580812 | Erica Nicole Miller | Nurse Practitioner | 498 Nw 18th St, Richmond, IN 47374-2851 | 2020-02-14 |
1164967865 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St, Suite B, Richmond, IN 47374-2851 | 2017-01-04 |
1508300161 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St, Suite A, Richmond, IN 47374-2851 | 2016-12-15 |
1386840668 | Constance Beatrice Clodfelter | Psychologist | 498 Nw 18th St, Richmond State Hospital, Richmond, IN 47374-2851 | 2007-06-25 |
1750507109 | Douglas W. Orr | Pharmacist | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-04-17 |
1578680666 | State of Indiana, Auditor of State | Pharmacy | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-03-23 |
1679699151 | John Thomas Moore | Psychologist | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-03-22 |
1538299300 | Bernida Lucile Iqbal | Dentist | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-03-07 |
1770638496 | Robert T Mitrione | Specialist | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-01-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
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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 |
---|---|---|---|---|
1114390986 | Katy Behavior Health Pllc | Psychiatric Hospital | 6902 S Peek Rd, West Park Spring Hospital, Richmond, TX 77407-1741 | 2015-11-03 |
1215354899 | Westpark Springs, LLC | Psychiatric Hospital | 6902 S. Peek Rd, Richmond, TX 77407 | 2014-03-21 |
1518060912 | State of Indiana, Auditor of State | Psychiatric Hospital | 498 Nw 18th St, Richmond, IN 47374-2851 | 2006-09-07 |
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 |
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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.