FAYETTE MEMORIAL HOSPITAL ASSOCIATION, INC. (NPI# 1487099115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487099115 |
| Entity Type | Organization |
| Organization Name | FAYETTE MEMORIAL HOSPITAL ASSOCIATION, INC. |
| Other Organization Name | FAYETTE MEMORIAL HOSPITAL GERI PSYCH |
| Practice Address |
450 Erie Ave Connersville IN 47331-3176 |
| Mailing Address |
1941 Virginia Ave Connersville IN 47331-2833 |
| Practice Telephone | 7658277890 |
| Practice Fax Number | 7658256628 |
| Mailing Telephone | 7658278933 |
| Mailing Fax Number | 7658277863 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2017-10-18 |
| Authorized Official Name | RANDALL WHITE (CEO) |
| Authorized Official Telephone | 7658277987 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 1750050591 | IN | Hospitals |
| Other Name | Type Code |
|---|---|
| Fayette Memorial Hospital Geri Psych | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891755401 | Fayette Memorial Hospital Association, Inc. | Pediatrics | 3542 Western Ave, Connersville, IN 47331-3427 | 2006-03-27 |
| Street Address |
450 ERIE AVE |
| City | CONNERSVILLE |
| State | IN |
| Zip Code | 47331-3176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932178712 | Kari L Byrd | Counselor | 450 Erie Ave, Connersville, IN 47331-3176 | 2006-03-15 |
| 1538679006 | Jessica Whited | Social Worker | 450 Erie Ave, Connersville, IN 47331-3176 | 2017-10-10 |
| 1184024515 | Dallas Holmes | Social Worker | 450 Erie Ave, Connersville, IN 47331-3176 | 2014-09-04 |
| 1407280449 | Tia R Bowling | Nurse Practitioner | 450 Erie Ave, Connersville, IN 47331-3176 | 2013-08-27 |
| 1689019051 | Renee Anne Telker | Registered Nurse | 450 Erie Ave, Connersville, IN 47331-3176 | 2013-04-30 |
| 1699079392 | Katrina Norris | Social Worker | 450 Erie Ave, Connersville, IN 47331-3176 | 2011-01-10 |
| 1053370270 | Fayette Memorial Hospital Association Inc | Psychiatric Residential Treatment Facility | 450 Erie Ave, Connersville, IN 47331-3176 | 2006-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275062630 | Williams Creek Health Center | Chiropractor | 685 S Co Rd 350 W, Connersville, IN 47331 | 2017-06-08 |
| 1801275201 | Americas Best Foot and Ankle Specialists | Podiatrist | 1475 East State Road 44 Suite 7., Whitewater Valley Medical Center, Connersville, IN 47331 | 2015-05-19 |
| 1508027269 | Kevin Andrew Yaryan | Optometrist | 522 N Eastern Ave, Connersville, IN 47331 | 2008-06-24 |
| 1477694602 | Residential Crf, Inc. | Intermediate Care Facility, Mentally Retarded | 556 S Co Rd 550 W, Connersville, IN 47331 | 2007-02-09 |
| 1316024904 | Mark Milton Wynn | Chiropractor | 208 W 20th St, Connersville, IN 47331 | 2006-11-01 |
| 1356368104 | Fayette County Government | Clinic/Center | 401 Central Ave, Connersville, IN 47331 | 2006-07-17 |
| 1760437818 | Karl Phillip Greene | Optometrist | 2045 Virginia Avenue, Connersville, IN 47331 | 2006-05-24 |
| 1225098825 | Fayette Memorial Hospital Assoc Inc | Clinic/Center | 3542 N Western Ave, Connersville, IN 47331 | 2006-03-27 |
| 1437118973 | Jereme Shawn Pflum | Chiropractor | 685 S. C.r. 350 W, Connersville, IN 47331 | 2006-03-22 |
| 1649279258 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 281 S County Road 200 E, Connersville, IN 47331 | 2005-07-15 |
| Find all providers in zip 47331 | ||||
| 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 |
|---|---|---|---|---|
| 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 | CONNERSVILLE |
| Zip Code | 47331 |
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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.