Organization
WELLSTONE REGIONAL HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SRVP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
2700 VISSING PARK RD, JEFFERSONVILLE, IN 47130-5989
(812) 284-8000
(812) 704-1221
Mailing address
2700 VISSING PARK RD, JEFFERSONVILLE, IN 47130-5989
(812) 284-8000
(812) 704-1221
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
8483809 73741
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02000057
—
KY
05
—
200813990A
—
IN
Enumeration date
05/01/2008
Last updated
04/03/2014
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