# STATE OF INDIANA, AUDITOR OF STATE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Logansport State Hospital,
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376660027
- **Authorized official:** MR. ROBERT E. CLOVER (ASSISTANT SUPERINTENDENT)
- **Authorized official phone:** (574) 737-3611

## Contact information

- **Practice address:** 1098 S STATE ROAD 25, LOGANSPORT, IN 46947-6723
- **Practice address phone:** (574) 722-4141
- **Practice address fax:** (574) 735-3414
- **Mailing address:** 1098 S STATE ROAD 25, LOGANSPORT, IN 46947-6723
- **Mailing address phone:** (574) 722-4141
- **Mailing address fax:** (574) 735-3414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 60000531A | IN | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020