Otis R. Bowen Center | |
255 N Miami St Wabash IN 46992-2705 | |
(260) 563-8446 | |
(260) 563-1902 |
Full Name | Otis R. Bowen Center |
---|---|
Speciality | Community/behavioral Health |
Location | 255 N Miami St, Wabash, Indiana |
Authorized Official Name and Position | Jay M Baumgartner (VP FISCAL DIVISION) |
Authorized Official Contact | 5742677169 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Otis R. Bowen Center 850 N Harrison St Warsaw IN 46580-3163 Ph: (574) 267-7169 | Otis R. Bowen Center 255 N Miami St Wabash IN 46992-2705 Ph: (260) 563-8446 |
NPI Number | 1437207156 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437207156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 423-0-CMHC (Indiana) | Primary |
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