STATE OF INDIANA AUDITOR OF STATE (NPI# 1326169871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326169871 |
Entity Type | Organization |
Organization Name | STATE OF INDIANA AUDITOR OF STATE |
Other Organization Name | EVANSVILLE STATE HOSPITAL |
Practice Address |
3400 Lincoln Avenue Evansville IN 47714 |
Practice Telephone | 8124696800 |
Practice Fax Number | 8124696847 |
Mailing Telephone | 8124696800 |
Mailing Fax Number | 8124696847 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2010-08-30 |
Authorized Official Name | CATHE FULCHER (SUPERINTENDENT) |
Authorized Official Telephone | 8124696800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100272090 | 05 |
Other Name | Type Code |
---|---|
Evansville State Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194033092 | State of Indiana Auditor of State | Clinical Medical Laboratory | 550 W 16th St Ste B, Indianapolis, IN 46202-2218 | 2010-09-14 |
1356356968 | State of Indiana Auditor of State | Pharmacy | 5435 East 16th Street, Indianapolis, IN 46218-5101 | 2006-07-30 |
1922094481 | State of Indiana Auditor of State | Psychiatric Hospital | 3400 Lincoln Avenue, Evansville, IN 47714 | 2005-09-21 |
1235250788 | State of Indiana Auditor of State | Psychiatric Hospital | 3400 Lincoln Avenue, Evansville, IN 47714 | 2007-04-03 |
1477596757 | State of Indiana Auditor of State | Pharmacy | 711 Green Rd, Madison, IN 47250-2143 | 2006-06-14 |
1750323531 | State of Indiana Auditor of State | Pharmacy | 498 Nw 18th St, Richmond, IN 47374-2851 | 2006-06-13 |
1598706459 | State of Indiana Auditor of State | Pharmacy | 3400 Lincoln Ave, Evansville, IN 47714-0147 | 2006-06-09 |
1194778001 | State of Indiana Auditor of State | Nursing Facility/Intermediate Care Facility | 3851 N River Rd, West Lafayette, IN 47906-3765 | 2006-05-19 |
Street Address |
3400 LINCOLN AVENUE |
City | EVANSVILLE |
State | IN |
Zip Code | 47714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922094481 | State of Indiana Auditor of State | Psychiatric Hospital | 3400 Lincoln Avenue, Evansville, IN 47714 | 2005-09-21 |
1235250788 | State of Indiana Auditor of State | Psychiatric Hospital | 3400 Lincoln Avenue, Evansville, IN 47714 | 2007-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
Find all providers in zip 47714 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457470908 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 3000 Bailey Ln, Evansville, IN 47720 | 2007-03-28 |
1689793127 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 428 Sterchi Dr, Evansville, IN 47711-7805 | 2007-03-28 |
1487773933 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 3110 Marion Ave, Evansville, IN 47712-4942 | 2007-03-28 |
1992824445 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 600 Pfeiffer Rd, Evansville, IN 47711-3154 | 2007-03-28 |
1366561813 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 1144 Sheffield Dr, Evansville, IN 47710-3818 | 2007-03-28 |
1114046653 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 1650 S Linwood Ave, Evansville, IN 47713-2856 | 2007-03-28 |
1184743635 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 935 E Olmstead Ave, Evansville, IN 47711-6242 | 2007-03-28 |
1275652729 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 3913 E Riverside Dr, Evansville, IN 47714-6446 | 2007-03-28 |
1174641997 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 202 Adams Ave, Evansville, IN 47713-1536 | 2007-03-27 |
1548388440 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 510 Lewis Ave, Evansville, IN 47714-1514 | 2007-03-27 |
Find all providers in EVANSVILLE |
City | EVANSVILLE |
Zip Code | 47714 |
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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.