| Southern Indiana Treatment Center, Llc | |
|
7509 Charlestown Pike Charlestown IN 47111-9623 | |
| (812) 256-4686 | |
| (812) 256-4415 |
| Full Name | Southern Indiana Treatment Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7509 Charlestown Pike, Charlestown, Indiana |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Indiana Treatment Center, Llc 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (615) 861-6000 | Southern Indiana Treatment Center, Llc 7509 Charlestown Pike Charlestown IN 47111-9623 Ph: (812) 256-4686 |
| NPI Number | 1932253812 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 9739513060 |
|---|---|
| Medicare Enrollment ID | O20191219002019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932253812 | NPI | - | NPPES |
| 300009020 | Medicaid | IN | |
| 201387960A | Medicaid | IN |
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