Organization
FAYETTE MEMORIAL HOSPITAL ASSOCIATION, INC.
Active
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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