Bloomington Meadows Gp in Bloomington - Psychiatric/mental Health, Geropsychiatric

Bloomington Meadows Gp - NPI 1033298120

Bloomington Meadows Gp is a Psychiatric/mental Health, Geropsychiatric in Bloomington, Indiana. Bloomington Meadows Gp practices all healthcare services and medical treatments related to Psychiatric/mental Health, Geropsychiatric. The NPI Number for Bloomington Meadows Gp is 1033298120. The last update date is 2015-04-13.

Bloomington Meadows Gp's current location address is 3600 N Prow Rd, Bloomington, Indiana. You can contact this provider via phone number 8123318000 and fax number 8123318985. The mailing address for Bloomington Meadows Gp is 3600 N Prow Rd, Bloomington, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bloomington Meadows Gp
Address 3600 N Prow Rd, Bloomington, Indiana
Phone Number 8123318000
Fax Number 8123318985
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SR VP CFO
Authorized Official Name Filton Steve
Telephone Number 6107683300

NPI Number Detail

NPI Number 1033298120
Provider Enumeration Date 2006-11-02
Last Updated Date 2015-04-13

Provider Mailing Address Detail

Address 3600 N Prow Rd
City Bloomington
State Indiana (IN)
Post Code 474041616
Phone Number 8123318000
Fax Number 8123318985

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Geropsychiatric
Taxonomy 364Sp0813X
Definition:
A psychiatric clinical nurse specialist expert in mental health care for older adults.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60128000 IN MAGELLAN
107936 IN ANTHEM
200075480 IN --
2398043 OH OHIO MEDICAID

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FAQs about Bloomington Meadows Gp

What is the unique identifier code issued to Bloomington Meadows Gp by the Centers for Medicare & Medicaid Services?

The Bloomington Meadows Gp has been assigned the NPI (National Provider Identifier) 1033298120. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Bloomington Meadows Gp's facilities are situated?

The facilities of Bloomington Meadows Gp are physically located at the following address: 3600 N Prow Rd, Bloomington, IN, 474041616.

What is Bloomington Meadows Gp's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bloomington Meadows Gp's area of specialization is Psychiatric/mental Health, Geropsychiatric, and the corresponding taxonomy code that categorizes this field of practice is 364Sp0813X.

On what date was the 1033298120 assigned to Bloomington Meadows Gp?

The Bloomington Meadows Gp was issued its 1033298120 on 2006-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Bloomington Meadows Gp, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bloomington Meadows Gp, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-04-13.

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