STATE OF INDIANA, AUDITOR OF STATE (NPI# 1902856768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902856768 |
| Entity Type | Organization |
| Organization Name | STATE OF INDIANA, AUDITOR OF STATE |
| Other Organization Name | LOGANSPORT STATE HOSPITAL |
| Practice Address |
1098 S State Road 25 Logansport IN 46947-6723 |
| Practice Telephone | 5747224141 |
| Practice Fax Number | 5747353414 |
| Mailing Telephone | 5747224141 |
| Mailing Fax Number | 5747353414 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT E. CLOVER (ASSISTANT SUPERINTENDENT) |
| Authorized Official Telephone | 5747373611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | IN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Logansport 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 |
| 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 |
| 1649396466 | State of Indiana, Auditor of State | Pharmacy | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| Street Address |
1098 S STATE ROAD 25 |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-6723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639679947 | Megan Elizabeth Shaal | Psychologist | 1098 S State Road 25, Logansport, IN 46947-6723 | 2018-02-14 |
| 1134468739 | Bryce Call | Pharmacist | 1098 S State Road 25, Logansport, IN 46947-6723 | 2013-02-04 |
| 1104081702 | Chad E Davis | Nurse Practitioner | 1098 S State Road 25, Logansport, IN 46947-6723 | 2008-07-23 |
| 1225224322 | Gregory C. Bell | Dentist | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-09-21 |
| 1053527655 | Manuel Luis Manalo | Registered Nurse | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-05-14 |
| 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 |
| 1659498731 | State of Indiana, Auditor of State | Psychiatric Hospital | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-03-23 |
| 1932233426 | Douglas R Morris | Psychiatry & Neurology | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-03-15 |
| 1295878478 | Dexter L. Fields | Psychiatry & Neurology | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| 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 |
|---|---|---|---|---|
| 1740313774 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 102 Oaktree Ct, Logansport, IN 46947-4115 | 2007-03-13 |
| 1275666018 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 1221 E County Road 75 N, Logansport, IN 46947-8015 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689051757 | The Arc of Northeast Indiana, Inc. | Intermediate Care Facility, Mentally Retarded | 4720 Ashland Dr, Fort Wayne, IN 46835-1510 | 2015-04-28 |
| 1710251830 | Rescare Inc. | Intermediate Care Facility, Mentally Retarded | 213 W. Water St., Centerville, IN 47330 | 2012-03-07 |
| 1871866368 | Rescare Inc. | Intermediate Care Facility, Mentally Retarded | 1010 Kellam Road, Centerville, IN 47330 | 2012-02-15 |
| 1215237672 | Pathfinder Services, Inc. | Intermediate Care Facility, Mentally Retarded | 2038 Camden Ct, Huntington, IN 46750-3993 | 2010-11-01 |
| 1396050076 | Pathfinder Services Inc | Intermediate Care Facility, Mentally Retarded | 2033 Duncan Dr, Huntington, IN 46750-4501 | 2010-08-18 |
| 1003052184 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16609 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1912143009 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16611 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1649416736 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 16613 Sima Gray Rd, Henryville, IN 47126-8626 | 2008-12-19 |
| 1528213360 | Res-care, Inc. | Intermediate Care Facility, Mentally Retarded | 1306 S Bloomington St, Greencastle, IN 46135-2208 | 2008-11-20 |
| 1316194863 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 4915 Haffner Drive, Fort Wayne, IN 46825-3535 | 2008-08-26 |
| Find all providers with the same taxonomy | ||||
| City | LOGANSPORT |
| Zip Code | 46947 |
Please comment or provide details below to improve the information on STATE OF INDIANA, AUDITOR OF STATE.
| 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.