Organization
BLOOMINGTON MEADOWS GP
Active
Other names
Bloomington Meadows Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
3600 N PROW RD, BLOOMINGTON, IN 47404-1616
(812) 331-8000
(812) 331-8985
Mailing address
3600 N PROW RD, BLOOMINGTON, IN 47404-1616
(812) 331-8000
(812) 331-8985
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
324-1-PIP
IN
283Q00000X
Psychiatric Hospital
324-1-PIP
IN
363LF0000X
Family Nurse Practitioner
Primary
71000894A
IN
363LP0200X
Pediatric Nurse Practitioner
28152858A
IN
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060128000
MAGELLAN
IN
01
—
107936
ANTHEM
IN
05
—
200075480
—
IN
01
—
2398043
OHIO MEDICAID
OH
Enumeration date
11/02/2006
Last updated
04/13/2015
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