Organization
FAYETTE MEMORIAL HOSPITAL ASSOCIATION, INC.
Active
Other names
Fayette Memorial Hospital Geri Psych
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL WHITE (CEO)
(765) 827-7987
Entity
Organization
Contact information
Practice address
450 ERIE AVE, CONNERSVILLE, IN 47331-3176
(765) 827-7890
(765) 825-6628
Mailing address
1941 VIRGINIA AVE, CONNERSVILLE, IN 47331-2833
(765) 827-8933
(765) 827-7863
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
1750050591
IN
Other
Enumeration date
05/08/2013
Last updated
10/18/2017
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