The Otis R Bowen Center For Human Services Inc, NPI 1639172810
Adult Mental Health Clinic/Center in Warsaw, IN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1639172810 |
| NPI Entity Type | Organization |
| Provider Name |
The Otis R Bowen Center For Human Services Inc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 850 N Harrison St, Warsaw, IN, US |
| Provider Mailing Address | 850 N Harrison St, Attn: Anne Lawson - Performance Improvement, Warsaw, IN, US, 465803163 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Jay M Baumgartner |
| Official Position | SR VP FISCAL DIVISION |
| Phone | 574-267-7169 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Adult Mental Health Clinic/Center |
| Classification | |
| Group | |
| License No. | 4230CMHC |
| License State | IN |
| Description | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 4230CMHC | IN | No | |||
| 4231PIP | IN | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| CB5225 | IN | RAILROAD MEDICARE | 01 |
| 452270 | IN | MEDICARE | 01 |
| 100273680A | IN | MEDICAID | 05 |
| 100428290A | IN | MEDICAID | 05 |
| 169430 | IN | MEDICARE | 01 |
| CH1896 | IN | RAILROAD MEDICARE | 01 |
| 452280 | IN | MEDICARE | 01 |
| 000000202972 | IN | ANTHEM BLUE CROSS BLUE SHIELD | 01 |
| 100156770 | IN | MEDICAID | 05 |
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