| Fayette Bhc Llc | |
|
3013 Virginia Ave Connersville IN 47331-2552 | |
| (765) 827-8022 | |
| (765) 827-4184 |
| Full Name | Fayette Bhc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3013 Virginia Ave, Connersville, Indiana |
| Authorized Official Name and Position | Tia R Bowling (OWNER) |
| Authorized Official Contact | 7658277890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayette Bhc Llc 3013 Virginia Ave Connersville IN 47331-2552 Ph: (765) 827-8022 | Fayette Bhc Llc 3013 Virginia Ave Connersville IN 47331-2552 Ph: (765) 827-8022 |
| NPI Number | 1669254546 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 06/30/2025 |
| Certification Date | 06/30/2025 |
| Medicare PECOS PAC ID | 8426401548 |
|---|---|
| Medicare Enrollment ID | O20240125000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669254546 | NPI | - | NPPES |
| 300082868 | Medicaid | IN |
| Provider Name | Vahid Osman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740264720 PECOS PAC ID: 2264409010 Enrollment ID: I20040913000512 |
| Provider Name | Tia R Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407280449 PECOS PAC ID: 2567699077 Enrollment ID: I20131207000134 |
| Provider Name | Tina S Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053795435 PECOS PAC ID: 2062727027 Enrollment ID: I20150819009165 |
| Provider Name | Timothy E Mcdivitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477910982 PECOS PAC ID: 9931405420 Enrollment ID: I20160309001416 |
| Provider Name | Komal Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023581220 PECOS PAC ID: 6901145747 Enrollment ID: I20190222000629 |
| Provider Name | Rebekah Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184406068 PECOS PAC ID: 8123462793 Enrollment ID: I20240222001234 |
| Provider Name | Megan Renee Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407594211 PECOS PAC ID: 5698110500 Enrollment ID: I20240301001849 |
| Provider Name | Crystal Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366294167 PECOS PAC ID: 3375985385 Enrollment ID: I20240522002146 |
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