| Oaklawn Psychiatric Center, Inc. | |
|
2600 Oakland Ave Elkhart IN 46517-1533 | |
| (574) 533-1234 | |
| (574) 537-2652 |
| Full Name | Oaklawn Psychiatric Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2600 Oakland Ave, Elkhart, Indiana |
| Authorized Official Name and Position | Lynn J. Miller (V.P. - FINANCE, C.F.O.) |
| Authorized Official Contact | 5745331234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oaklawn Psychiatric Center, Inc. 330 Lakeview Dr Goshen IN 46528-9365 Ph: (574) 533-1234 | Oaklawn Psychiatric Center, Inc. 2600 Oakland Ave Elkhart IN 46517-1533 Ph: (574) 533-1234 |
| NPI Number | 1306923479 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 10/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306923479 | NPI | - | NPPES |
| 100111390 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 409-0-CMHC (Indiana) | Primary |
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