| Park View Psychiatric Services | |
|
510 Spring St Jeffersonville IN 47130-3554 | |
| (812) 282-1888 | |
| (812) 218-9318 |
| Full Name | Park View Psychiatric Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 510 Spring St, Jeffersonville, Indiana |
| Authorized Official Name and Position | Steven R Shelton (PRESIDENT) |
| Authorized Official Contact | 8122821888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park View Psychiatric Services 510 Spring Street Jeffersonville IN 47130 Ph: (812) 282-1888 | Park View Psychiatric Services 510 Spring St Jeffersonville IN 47130-3554 Ph: (812) 282-1888 |
| NPI Number | 1801014626 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 10/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801014626 | NPI | - | NPPES |
| 5002992 | Other | KY | PASSPORT HEALTH PLAN GROUP # |
| 6764 | Other | KY | MEDICARE GROUP # |
| 7100114160 | Medicaid | KY | |
| CK2274 | Other | KY | MEDICARE RAILROAD |
| 82900176 | Medicaid | KY | |
| 2444451000 | Other | KY | PASSPORT ADVANTAGE |
| CG3623 | Other | IN | MEDICARE RAILROAD |
| 160780 | Other | IN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 50003891A (Indiana) | Primary |
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