EVANSVILLE TREATMENT CENTER, LLC (NPI# 1194878587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194878587 |
Entity Type | Organization |
Organization Name | EVANSVILLE TREATMENT CENTER, LLC |
Practice Address |
1510 W Franklin St Evansville IN 47710-1032 |
Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
Practice Telephone | 8124240223 |
Practice Fax Number | 8124240226 |
Mailing Telephone | 7607100819 |
Mailing Fax Number | 8124247678 |
Enumeration Date | 2007-01-19 |
Last Update Date | 2018-07-31 |
Authorized Official Name | PETER F MORRIS (PRESIDENT, CTC DIVISON) |
Authorized Official Telephone | 6157211297 |
Is Organization Subpart | Y |
Parent Organization Name | ACADIA HEALTHCARE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | 1361-0-ASR | IN | Ambulatory Health Care Facilities |
N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
RE0201943 | IN | Ambulatory Health Care Facilities |
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
1361-0-ASR | IN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201359750A | 05 | |
IN | 3000009982 | 05 |
Street Address |
1510 W FRANKLIN ST |
City | EVANSVILLE |
State | IN |
Zip Code | 47710-1032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811447014 | Samuel Vanover | Licensed Practical Nurse | 1510 W Franklin St, Evansville, IN 47710-1032 | 2016-10-12 |
1417405762 | Whitney Deloach | Counselor | 1510 W Franklin St, Evansville, IN 47710-1032 | 2016-09-15 |
1447705561 | Adena Lynn Fussnecker | Licensed Practical Nurse | 1510 W Franklin St, Evansville, IN 47710-1032 | 2016-08-18 |
1912370339 | Angel Stokes | Specialist/Technologist, Other | 1510 W Franklin St, Evansville, IN 47710-1032 | 2015-11-06 |
1912379900 | Miranda Hobbs | Registered Nurse | 1510 W Franklin St, Evansville, IN 47710-1032 | 2015-10-29 |
1295107324 | Misty L Mitchell | Registered Nurse | 1510 W Franklin St, Evansville, IN 47710-1032 | 2015-10-28 |
1306218649 | Alexandrea Linn Higdon | Counselor | 1510 W Franklin St, Evansville, IN 47710-1032 | 2015-10-27 |
1457723793 | Christie Talbert | Counselor | 1510 W Franklin St, Evansville, IN 47710-1032 | 2015-10-27 |
1336511674 | Zachary Waggoner | Counselor | 1510 W Franklin St, Evansville, IN 47710-1032 | 2015-10-27 |
1841662277 | Brittney Petro | Social Worker | 1510 W Franklin St, Evansville, IN 47710-1032 | 2015-10-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
Find all providers in zip 47710 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
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1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
1437651221 | Valle Vista LLC | Clinic/Center | 65 Airport Pkwy Ste 104, Greenwood, IN 46143-1439 | 2018-03-07 |
1790286300 | Hamilton Center, Inc. | Clinic/Center | 88 Court Wabash Court, Terre Haute, IN 47807 | 2018-02-28 |
1659879187 | Limestone Health, LLC | Clinic/Center | 4705 Meijer Ct, Lafayette, IN 47905-4684 | 2018-01-30 |
1902304447 | Limestone Health, LLC | Clinic/Center | 2100 S Liberty Dr Ste A, Bloomington, IN 47403-5147 | 2018-01-30 |
1134559917 | Center for Behavioral Health Indiana, Inc. | Clinic/Center | 3910 Lima Rd, Fort Wayne, IN 46805-1031 | 2013-11-15 |
1932732955 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 1110 W 5th Ave, Gary, IN 46402-1723 | 2020-02-18 |
1386159176 | The Otis R Bowen Center for Human Services Inc | Clinic/Center | 1415 Directors Row, Fort Wayne, IN 46808-1297 | 2017-12-04 |
Find all providers with the same taxonomy |
City | EVANSVILLE |
Zip Code | 47710 |
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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.