Organization
INDIAN CREEK FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. B. TIMOTHY BARKSDALE PSYD (CHIEF EXECUTIVE OFFICER)
(267) 203-1500
Entity
Organization
Contact information
Practice address
420 COWPATH RD, SOUDERTON, PA 18964-2036
(267) 203-1500
(267) 203-1510
Mailing address
420 COWPATH RD, SOUDERTON, PA 18964-2036
(267) 203-1500
(267) 203-1510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251S00000X
Community/Behavioral Health Agency
Primary
105070
PA
251S00000X
Community/Behavioral Health Agency
105080
PA
251S00000X
Community/Behavioral Health Agency
138590
PA
251S00000X
Community/Behavioral Health Agency
1476426
PA
251S00000X
Community/Behavioral Health Agency
188770
PA
315P00000X
Intellectual Disabilities Intermediate Care Facility
505620
PA
315P00000X
Intellectual Disabilities Intermediate Care Facility
505630
PA
315P00000X
Intellectual Disabilities Intermediate Care Facility
509100
PA
315P00000X
Intellectual Disabilities Intermediate Care Facility
509120
PA
315P00000X
Intellectual Disabilities Intermediate Care Facility
509140
PA
315P00000X
Intellectual Disabilities Intermediate Care Facility
509170
PA
315P00000X
Intellectual Disabilities Intermediate Care Facility
535030
PA
315P00000X
Intellectual Disabilities Intermediate Care Facility
535040
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000818
—
PA
01
—
23122000
MAGELLAN BEHAVIORAL HEALT
PA
Enumeration date
01/24/2007
Last updated
12/31/2025
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