THE OTIS R BOWEN CENTER FOR HUMAN SERVICES INC (NPI# 1386159176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386159176 |
| Entity Type | Organization |
| Organization Name | THE OTIS R BOWEN CENTER FOR HUMAN SERVICES INC |
| Other Organization Name | BOWEN RECOVERY CENTER |
| Practice Address |
1415 Directors Row Fort Wayne IN 46808-1297 |
| Mailing Address |
2621 E Jefferson St Warsaw IN 46580-3880 |
| Practice Telephone | 8003425653 |
| Practice Fax Number | 5742694189 |
| Mailing Telephone | 5742677169 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Authorized Official Name | JAY BAUMGARTNER (SR. VP OF FINANCE) |
| Authorized Official Telephone | 5742677169 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE OTIS R BOWEN CENTER FOR HUMAN SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bowen Recovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172810 | The Otis R Bowen Center for Human Services Inc | Psychiatric Hospital | 850 N Harrison St, Warsaw, IN 46580-3163 | 2005-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | THE OTIS R BOWEN CENTER FOR HUMAN SERVICES INC | 2621 E. Jefferson St, Po Box 497, Warsaw, IN 46581-0497 |
| Street Address |
1415 DIRECTORS ROW |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46808-1297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
| 1982020301 | Sos-solution Oriented Support, Inc. | Social Worker | 1415 Directors Row, Suite 1a, Fort Wayne, IN 46808-1285 | 2014-03-10 |
| 1184715567 | Lilioza Maria Gzyl | Pediatrics | 1415 Directors Row, Ste 11a, Fort Wayne, IN 46808 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
| 1396142063 | Christina Ryder | Specialist/Technologist | 3946 Iceway, Fort Wayne, IN 46808 | 2014-11-25 |
| 1912090440 | Neighborcare of Indiana, LLC | Pharmacy | 3402 Congressional Pkwy, Ft. Wayne, IN 46808 | 2006-10-02 |
| 1619945888 | Beth Ann Herrell | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2006-03-14 |
| 1750851168 | Tyler Cheney | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-28 |
| 1487123550 | Michaela Mcguire | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-19 |
| 1861961088 | Olivia Marquardt | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-16 |
| 1548762495 | Benjamin Chaz Charles | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-03-07 |
| Find all providers in zip 46808 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134559917 | Center for Behavioral Health Indiana, Inc. | Clinic/Center | 3910 Lima Rd, Fort Wayne, IN 46805-1031 | 2013-11-15 |
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| 1659879187 | Limestone Health, LLC | Clinic/Center | 4705 Meijer Ct, Lafayette, IN 47905-4684 | 2018-01-30 |
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| 1770944639 | Indianapolis Treatment Center | Clinic/Center | 2626 E 46th St, Indianapolis, IN 46205-2380 | 2016-03-18 |
| City | FORT WAYNE |
| Zip Code | 46808 |
Please comment or provide details below to improve the information on THE OTIS R BOWEN CENTER FOR HUMAN SERVICES INC.
| 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.