Bloomington Meadows Gp -

LBN: Bloomington Meadows Gp -
Bloomington Meadows Gp - is an health care organization with primary practice located at 3600 N Prow Rd , Bloomington IN 47404-1616. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Bloomington Meadows Gp - can be contacted via phone (812) 331-8000, or through Nyberg, Becky via phone (812) 331-8000.

Contact Information

Primary practice address
3600 N Prow Rd Bloomington IN 47404-1616
Phone: (812) 331-8000
Fax: (812) 331-8985
Website:
Map and Directions
Authorized official contact:
Name: Nyberg, Becky
Phone: (812) 331-8000

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 278652298 Indiana

Profile Details

NPI number 1417968595
LBN Legal business name Bloomington Meadows Gp -
DBA Doing business as
Authorized official Nyberg, Becky
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Jan 31st, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417968595 NPPES
Indiana MEDICAID 200457070A

Popular Providers