Organization
BOWEN HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY M BAUMGARTNER (CFO)
(574) 267-7169
Entity
Organization
Contact information
Practice address
255 N MIAMI ST, WABASH, IN 46992-2705
(260) 563-8446
(260) 563-1902
Mailing address
850 N HARRISON ST, WARSAW, IN 46580-3163
(574) 267-7169
(574) 269-3995
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
423-0-CMHC
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100156770
—
IN
01
—
268741000
MAGELLAN ID#
IN
Enumeration date
01/08/2007
Last updated
11/11/2024
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