IOM HEALTH SYSTEM LP (NPI# 1962455295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962455295 |
Entity Type | Organization |
Organization Name | IOM HEALTH SYSTEM LP |
Other Organization Name | LUTHERAN HOSPITAL OF INDIANA-GERO PSYCH UNIT |
Practice Address |
7950 W Jefferson Blvd Fort Wayne IN 46804-4140 |
Practice Telephone | 2604357001 |
Practice Fax Number | 2604357632 |
Mailing Telephone | 2604357001 |
Mailing Fax Number | 2604357632 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2017-10-05 |
Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
Authorized Official Telephone | 6159254565 |
Is Organization Subpart | Y |
Parent Organization Name | IOM HEALTH SYSTEM LP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | 05-005016-1 | IN | Hospital Units |
Other Name | Type Code |
---|---|
Lutheran Hospital of Indiana-Gero psych unit | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124157961 | Iom Health System Lp | Clinic/Center | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-03-05 |
1306897335 | Iom Health System Lp | Ambulance | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-05-15 |
Street Address |
7950 W JEFFERSON BLVD |
City | FORT WAYNE |
State | IN |
Zip Code | 46804-4140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760486187 | Heather J. Wolfe | Pediatrics | 7950 W Jefferson Blvd, Suite 212, Fort Wayne, IN 46804-4140 | 2005-06-13 |
1831798354 | Dorian Raymone Tate | Nurse Anesthetist, Certified Registered | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-10-26 |
1528665585 | Alexis Kate Felger | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-10-02 |
1114534054 | Mary Catherine Richter | Specialist/Technologist, Other | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2020-09-24 |
1538778386 | Lori Elizabeth Jackson | Registered Nurse | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2020-07-28 |
1831708965 | Anna N. Kemler | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-24 |
1699383307 | David James Mansfield | Registered Nurse | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-20 |
1932726452 | Joseph Egbert | Registered Nurse | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-06-30 |
1245851872 | Lauren Tirey | Occupational Therapist | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2020-05-05 |
1609415421 | Mikhaila Sailor | Dietitian, Registered | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2019-12-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
Find all providers in zip 46804 |
Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487662961 | Parkview Hospital, Inc. | Psychiatric Unit | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2006-08-03 |
1578517231 | St Joseph Health System LLC | Psychiatric Unit | 700 Broadway, Fort Wayne, IN 46802-1402 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376841395 | Memorial Hospital of South Bend | Psychiatric Unit | 420 N Niles Ave, South Bend, IN 46617-1918 | 2011-03-01 |
1760521140 | Otis R. Bowen Center | Psychiatric Unit | 1535 Provident Dr., Warsaw, IN 46580 | 2007-02-05 |
1811042237 | St. Marys Warrick Hospital, Inc. | Psychiatric Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-24 |
1104998624 | Columbus Regional Hospital | Psychiatric Unit | 2400 East 17th St, Columbus, IN 47201-5351 | 2006-11-14 |
1821517533 | Indiana University Health Jay, Inc. | Psychiatric Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-13 |
1922463454 | La Porte Hospital Company LLC | Psychiatric Unit | 1007 Lincolnway, La Porte, IN 46350-3201 | 2015-12-29 |
1396015251 | The Methodist Hospitals, Inc | Psychiatric Unit | 600 Grant St, Gary, IN 46402-6001 | 2012-01-10 |
1760751069 | Nicki Williamson, Msw, Lcsw, LLC | Psychiatric Unit | 101 W Kirkwood Ave, Suite 121, Bloomington, IN 47404-6129 | 2011-12-16 |
1730492018 | Indiana Clinic | Psychiatric Unit | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2010-07-15 |
1972788784 | James R Davis Md LLC | Psychiatric Unit | 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 | 2007-12-31 |
Find all providers with the same taxonomy |
City | FORT WAYNE |
Zip Code | 46804 |
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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.