# SOUTHERN INDIANA REHABILITATION HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Indiana Rehabilitation Hospital Skilled Nursing Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619020393
- **Authorized official:** CATHY KIDD PH.D. (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (502) 581-8603

## Contact information

- **Practice address:** 3104 BLACKISTON BLVD, NEW ALBANY, IN 47150-9579
- **Practice address phone:** (812) 941-8300
- **Mailing address:** PO BOX 2587, LOUISVILLE, KY 40201-2587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/28/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 155765 | MEDICARE | KY |