| Southern Indiana Rehab Hospital | |
|
3104 Blackiston Blvd New Albany IN 47150-9579 | |
| (812) 941-8300 | |
| Not Available |
| Full Name | Southern Indiana Rehab Hospital |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3104 Blackiston Blvd, New Albany, Indiana |
| Authorized Official Name and Position | Randy L Napier (CEO) |
| Authorized Official Contact | 8129416106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Indiana Rehab Hospital Po Box 2587 Louisville KY 40201-2587 Ph: (502) 587-4099 | Southern Indiana Rehab Hospital 3104 Blackiston Blvd New Albany IN 47150-9579 Ph: (812) 941-8300 |
| NPI Number | 1356501506 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356501506 | NPI | - | NPPES |
| 200715810A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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