STATE OF INDIANA, AUDITOR OF STATE (NPI# 1700876224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700876224 |
| Entity Type | Organization |
| Organization Name | STATE OF INDIANA, AUDITOR OF STATE |
| Other Organization Name | MADISON STATE HOSPITAL |
| Practice Address |
711 Green Rd Madison IN 47250-2143 |
| Practice Telephone | 8122652611 |
| Mailing Telephone | 8122652611 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2010-02-02 |
| Authorized Official Name | DR. PEGGY S STEPHENS (SUPERINTENDENT MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8122652611 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | STATE OWNED | IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100273320A | 05 |
| Other Name | Type Code |
|---|---|
| MADISON STATE HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558389320 | State of Indiana, Auditor of State | Psychiatric Hospital | 3300 E Morgan Ave, Evansville, IN 47715-2232 | 2006-07-18 |
| 1902856768 | State of Indiana, Auditor of State | Intermediate Care Facility, Mentally Retarded | 1098 S State Road 25, Logansport, IN 46947-6723 | 2006-05-11 |
| 1356667109 | State of Indiana, Auditor of State | Pharmacy | 3851 N River Rd, Pharmacy Department, West Lafayette, IN 47906-3762 | 2010-04-19 |
| 1538337563 | State of Indiana, Auditor of State | Psychiatric Hospital | 3300 E Morgan Ave, Evansville, IN 47715-2232 | 2008-02-12 |
| 1861511370 | State of Indiana, Auditor of State | Psychiatric Hospital | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-03-28 |
| 1376660027 | State of Indiana, Auditor of State | Pharmacy | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-03-26 |
| 1043338684 | State of Indiana, Auditor of State | Psychiatric Hospital | 5435 East 16th Street, Indianapolis, IN 46218-5101 | 2007-03-26 |
| 1659498731 | State of Indiana, Auditor of State | Psychiatric Hospital | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-03-23 |
| 1578680666 | State of Indiana, Auditor of State | Pharmacy | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-03-23 |
| 1659497477 | State of Indiana, Auditor of State | Psychiatric Hospital | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| Street Address |
711 GREEN RD |
| City | MADISON |
| State | IN |
| Zip Code | 47250-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699765198 | Michael D Foster | Psychiatry & Neurology | 711 Green Rd, Madison, IN 47250-2143 | 2005-10-26 |
| 1740835164 | Kimberly Kay Beverly | Nurse Practitioner | 711 Green Rd, Madison, IN 47250-2143 | 2019-08-02 |
| 1023454295 | Nancy H Burkhardt | Dentist | 711 Green Rd, Madison, IN 47250-2143 | 2013-05-15 |
| 1205271749 | Stacie Lynn Hall | Pharmacist | 711 Green Rd, Madison, IN 47250-2143 | 2013-05-09 |
| 1659497477 | State of Indiana, Auditor of State | Psychiatric Hospital | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| 1649396466 | State of Indiana, Auditor of State | Pharmacy | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| 1932225752 | State of Indiana, Auditor of State | Intermediate Care Facility, Mentally Retarded | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| 1477596757 | State of Indiana Auditor of State | Pharmacy | 711 Green Rd, Madison, IN 47250-2143 | 2006-06-14 |
| 1164478939 | Gwendolyn Heaton | Psychiatry & Neurology | 711 Green Rd, Madison, IN 47250-2143 | 2006-05-25 |
| 1437149945 | Howard C Jackson Jr. | Family Medicine | 711 Green Rd, Madison, IN 47250-2199 | 2005-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| 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 |
|---|---|---|---|---|
| 1205292869 | Veteran Health Administration | Psychiatric Hospital | 2500 Overlook Ter, Madison, WI 53705-2254 | 2016-01-12 |
| 1659497477 | State of Indiana, Auditor of State | Psychiatric Hospital | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| 1437106036 | Mendota Mental Health Institute | Psychiatric Hospital | 301 Troy Dr, Madison, WI 53704-1521 | 2006-05-28 |
| 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.