| Lifebridge | |
|
500 W Votaw St Portland IN 47371-1322 | |
| (260) 726-7131 | |
| (260) 726-1976 |
| Full Name | Lifebridge |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 500 W Votaw St, Portland, Indiana |
| Authorized Official Name and Position | Lynn Hampson (PATIENT INFORMATION SERVICES COORDI) |
| Authorized Official Contact | 2607261812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebridge 500 W Votaw St Portland IN 47371-1322 Ph: (260) 726-7131 | Lifebridge 500 W Votaw St Portland IN 47371-1322 Ph: (260) 726-7131 |
| NPI Number | 1275506024 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275506024 | NPI | - | NPPES |
| 100269610B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 005029 (Indiana) | Primary |
K A Lawrence Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 Oak St, Portland, IN 47371 Phone: 317-727-9223 | |
Youth Service Bureau Of Jay County, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W Arch St, Portland, IN 47371 Phone: 260-726-8520 Fax: 260-726-8535 | |
Good Samaritan Mental Health Association Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-418-7036 | |
Jay County Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 Fax: 260-726-1975 |