Organization
SOUTHERN INDIANA REHABILITATION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY L NAPIER (CHIEF EXECUTIVE OFFICER)
(812) 941-6106
Entity
Organization
Contact information
Practice address
3104 BLACKISTON BLVD, NEW ALBANY, IN 47150-9579
(812) 941-8300
Mailing address
PO BOX 2587, LOUISVILLE, KY 40201-2587
(502) 587-4099
(502) 587-4944
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
050062051
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054356
ANTHEM
IN
05
—
01341718
—
KY
01
—
030011100
BLACK LUNG
IN
05
—
100368680A
—
IN
01
—
1018454
CHAMPUS
IN
01
—
1058292
PASSPORT
KY
01
—
129343300
US DEPARTMENT OF LABOR
IN
01
—
200350290A
IN MEDICAID FOR SIRH GROUP
IN
01
—
200715810
IN FIRST STEPS
IN
01
—
200715810A
IN MEDICAID FOR SIRH FIRST STEPS GROUP
IN
01
—
2433921000
PASSPORT ADVANTAGE
KY
01
—
5000072
UNITED HEALTHCARE
IN
Enumeration date
07/20/2005
Last updated
08/28/2012
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