| Wellstone Regional Hospital Acquisition Llc | |
|
2700 Vissing Park Rd Jeffersonville IN 47130-5989 | |
| (812) 284-8000 | |
| (812) 704-1221 |
| Full Name | Wellstone Regional Hospital Acquisition Llc |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 2700 Vissing Park Rd, Jeffersonville, Indiana |
| Authorized Official Name and Position | Steve Filton (SRVP CFO) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellstone Regional Hospital Acquisition Llc 2700 Vissing Park Rd Jeffersonville IN 47130-5989 Ph: (812) 284-8000 | Wellstone Regional Hospital Acquisition Llc 2700 Vissing Park Rd Jeffersonville IN 47130-5989 Ph: (812) 284-8000 |
| NPI Number | 1841215985 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 04/02/2019 |
| Medicare PECOS PAC ID | 3577585066 |
|---|---|
| Medicare Enrollment ID | O20051227000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841215985 | NPI | - | NPPES |
| 02000057 | Medicaid | KY | |
| 200813990A | Medicaid | IN | |
| 200813230A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | 61100451A (Indiana) | Primary |
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