Parkview Behavioral Health | |
1720 Beacon St Fort Wayne IN 46805-4749 | |
(260) 373-7500 | |
(260) 373-8446 |
Full Name | Parkview Behavioral Health |
---|---|
Speciality | Psychiatric Unit |
Location | 1720 Beacon St, Fort Wayne, Indiana |
Authorized Official Name and Position | Mark Nafziger (EXECUTIVE VP -- CFO) |
Authorized Official Contact | 2603737008 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Parkview Behavioral Health Po Box 5600 Fort Wayne IN 46895-5600 Ph: (260) 373-7008 | Parkview Behavioral Health 1720 Beacon St Fort Wayne IN 46805-4749 Ph: (260) 373-7500 |
NPI Number | 1487662961 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 06/29/2015 |
Medicare PECOS PAC ID | 4284622366 |
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Medicare Enrollment ID | O20080122000190 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487662961 | NPI | - | NPPES |
462118-00 | Other | IN | MAGELLAN PROVIDER NUMBER |
100268480A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 060050201 (Indiana) | Primary |
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