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Organization
STATE OF INDIANA, AUDITOR OF STATE
Active
Organization
STATE OF INDIANA, AUDITOR OF STATE
Active
Other names
MADISON STATE HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEGGY S STEPHENS MD (SUPERINTENDENT AND MEDICAL DIRECTO)
(812) 265-2611
Entity
Organization
Contact information
Practice address
711 GREEN RD, MADISON, IN 47250-2143
(812) 265-2611
(812) 265-7227
Mailing address
711 GREEN RD, MADISON, IN 47250-2143
(812) 265-2611
(812) 265-7227
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
60000778A
IN
Other
Enumeration date
03/22/2007
Last updated
12/17/2007
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