| Evansville Treatment Center, Llc | |
|
1510 W Franklin St Evansville IN 47710-1032 | |
| (812) 424-0223 | |
| (812) 424-0226 |
| Full Name | Evansville Treatment Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1510 W Franklin St, Evansville, Indiana |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evansville Treatment Center, Llc 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (855) 259-2288 | Evansville Treatment Center, Llc 1510 W Franklin St Evansville IN 47710-1032 Ph: (812) 424-0223 |
| NPI Number | 1194878587 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/10/2023 |
| Medicare PECOS PAC ID | 0648604793 |
|---|---|
| Medicare Enrollment ID | O20191223001689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194878587 | NPI | - | NPPES |
| 201359750A | Medicaid | IN | |
| 3000009982 | Medicaid | IN |
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