Madison Center, Inc. in South Bend - Psychiatric Residential Treatment Facility
Madison Center, Inc. - NPI 1104974989
Madison Center, Inc. is a Psychiatric Residential Treatment Facility in South Bend, Indiana. Madison Center, Inc. practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Madison Center, Inc. is 1104974989. The last update date is 2010-04-07.
Madison Center, Inc.'s current location address is 403 E Madison St, South Bend, Indiana. You can contact this provider via phone number 5742310061 and fax number 5742831209. The mailing address for Madison Center, Inc. is 403 E Madison St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Madison Center, Inc. |
|---|---|
| Address | 403 E Madison St, South Bend, Indiana |
| Phone Number | 5742310061 |
| Fax Number | 5742831209 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTRACTS |
|---|---|
| Authorized Official Name | Clanton J Brenda |
| Telephone Number | 5742831107 |
NPI Number Detail
| NPI Number | 1104974989 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2010-04-07 |
Provider Mailing Address Detail
| Address | 403 E Madison St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172322 |
| Phone Number | 5742310061 |
| Fax Number | 5742831209 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 406-1-PIP |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200495360A | IN | -- |
Post Comment/ Review Below
What is the Madison Center, Inc.'s 1104974989?
The Madison Center, Inc.'s NPI (National Provider Identifier) Number is 1104974989. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Madison Center, Inc.'s physical address?
The Madison Center, Inc. is physically located at 403 E Madison St, in the city of South Bend, IN, with the postal code 466172322.
What is Madison Center, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Madison Center, Inc.'s area of specialization is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code that categorizes this field of practice is 323P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104974989 to Madison Center, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1104974989 to Madison Center, Inc. on 2007-01-08.
As of what date was the information regarding Madison Center, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Madison Center, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-04-07.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN