| Community Howard Regional Health, Inc | |
|
3500 S Lafountain St Kokomo IN 46902-3803 | |
| (765) 483-8547 | |
| Not Available |
| Full Name | Community Howard Regional Health, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3500 S Lafountain St, Kokomo, Indiana |
| Authorized Official Name and Position | Joseph Hooper (PRESIDENT & CEO) |
| Authorized Official Contact | 7654538580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Howard Regional Health, Inc 6626 E 75th St Ste 500 Indianapolis IN 46250-2805 Ph: () - | Community Howard Regional Health, Inc 3500 S Lafountain St Kokomo IN 46902-3803 Ph: (765) 483-8547 |
| NPI Number | 1700325586 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700325586 | NPI | - | NPPES |
| 201111550 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Indiana) | Primary |
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