Organization
OAKLAWN PSYCHIATRIC CENTER, INC.
Active
Organization
OAKLAWN PSYCHIATRIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNN J. MILLER (V.P. - FINANCE, C.F.O.)
(574) 533-1234
Entity
Organization
Contact information
Practice address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 533-1234
(574) 537-2652
Mailing address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 533-1234
(574) 537-2652
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
409-4-PIP
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097755
BLUE CROSS
—
01
—
351
CHAMPUS
—
01
—
CB2281
RAILROAD MEDICARE GROUP
—
01
—
DB1691
RAILROAD MEDICARE GROUP
—
Enumeration date
05/22/2006
Last updated
10/16/2007
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