| Hopebridge, Llc | |
|
1558 E Boulevard Ste A Kokomo IN 46902-2479 | |
| (765) 252-0530 | |
| (317) 520-8200 |
| Full Name | Hopebridge, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1558 E Boulevard Ste A, Kokomo, Indiana |
| Authorized Official Name and Position | Angie Graff (INSURANCE & CREDENTIALING MANAGER) |
| Authorized Official Contact | 3173768336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopebridge, Llc 3500 Depauw Blvd Suite 3070 Indianapolis IN 46268-6135 Ph: (855) 324-0885 | Hopebridge, Llc 1558 E Boulevard Ste A Kokomo IN 46902-2479 Ph: (765) 252-0530 |
| NPI Number | 1891820668 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891820668 | NPI | - | NPPES |
| 200533240 A, C-I | Medicaid | IN | |
| 300007293 | Medicaid | IN | |
| 3000013388 | Medicaid | IN | |
| 300006160 | Medicaid | IN | |
| 300007183 | Medicaid | IN | |
| 300007369 | Medicaid | IN | |
| 300007160 | Medicaid | IN | |
| 201036870A | Medicaid | OK | |
| 200925340A-I | Medicaid | IN | |
| 300007629 | Medicaid | IN | |
| 000000975491 | Other | IN | ANTHEM |
| 201036870C | Medicaid | OK |
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