Wellstone Regional Hospital | |
2700 Vissing Park Rd Jeffersonville IN 47130-5989 | |
(812) 284-8000 | |
(812) 704-1221 |
Full Name | Wellstone Regional Hospital |
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Speciality | Psychiatric Hospital |
Location | 2700 Vissing Park Rd, Jeffersonville, Indiana |
Authorized Official Name and Position | Steve Filton (SRVP CFO) |
Authorized Official Contact | 6107683300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Wellstone Regional Hospital 2700 Vissing Park Rd Jeffersonville IN 47130-5989 Ph: (812) 284-8000 | Wellstone Regional Hospital 2700 Vissing Park Rd Jeffersonville IN 47130-5989 Ph: (812) 284-8000 |
NPI Number | 1841215985 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 04/02/2019 |
Medicare PECOS PAC ID | 3577585066 |
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Medicare Enrollment ID | O20051227000575 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841215985 | NPI | - | NPPES |
02000057 | Medicaid | KY | |
200813990A | Medicaid | IN | |
200813230A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
283Q00000X | Psychiatric Hospital | 61100451A (Indiana) | Primary |
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