Organization
CARDINAL HEALTH PARTNERS
Active
Other names
CHS CHILD PSYCHIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HAWKINS (BILLING MANAGER)
(765) 751-3152
Entity
Organization
Contact information
Practice address
205 N TILLOTSON AVE, MUNCIE, IN 47304-3900
(765) 751-3173
Mailing address
3711 S MADISON ST, MUNCIE, IN 47302-5756
(765) 751-3150
(765) 751-3155
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01050577
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200237850
—
IN
Enumeration date
11/29/2006
Last updated
06/18/2008
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