# STATE OF INDIANA, AUDITOR OF STATE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MADISON STATE HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649396466
- **Authorized official:** DR. PEGGY S STEPHENS MD (SUPERINTENDENT AND MEDICAL DIRECTO)
- **Authorized official phone:** (812) 265-2611

## Contact information

- **Practice address:** 711 GREEN RD, MADISON, IN 47250-2143
- **Practice address phone:** (812) 265-2611
- **Practice address fax:** (812) 265-7227
- **Mailing address:** 711 GREEN RD, MADISON, IN 47250-2143
- **Mailing address phone:** (812) 265-2611
- **Mailing address fax:** (812) 265-7227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 60000778A | IN | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 12/17/2007