Northeastern Center

LBN: Northeastern Center
Northeastern Center is an health care organization with primary practice located at 220 S Main St , Kendallville IN 46755-1718. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Northeastern Center can be contacted via phone (260) 347-2453, or through Hollister, Jerry via phone (260) 347-2453.

Contact Information

Primary practice address
220 S Main St Kendallville IN 46755-1718
Phone: (260) 347-2453
Fax: (260) 347-2456
Website:
Map and Directions
Authorized official contact:
Name: Hollister, Jerry
Phone: (260) 347-2453

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 426-0-CMHC Indiana

Profile Details

NPI number 1174685358
LBN Legal business name Northeastern Center
DBA Doing business as
Authorized official Hollister, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Jun 16th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174685358 NPPES
Indiana MEDICAID 100190820B

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