Organization
OAKLAWN PSYCHIATRIC CENTER, INC.
Active
Parent organization
OAKLAWN PSYCHIATRIC CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAKLAWN PSYCHIATRIC CENTER, INC.
Authorized official
LYNN J. MILLER (V.P. - FINANCE, C.F.O.)
(574) 533-1234
Entity
Organization
Contact information
Practice address
2600 OAKLAND AVE, ELKHART, IN 46517-1533
(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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
409-0-CMHC
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097755
BLUE CROSS
IN
05
—
100111390
—
IN
01
—
351
CHAMPUS
IN
01
—
CB2281
RAILROAD MEDICARE
IN
01
—
DB1691
RAILROAD MEDICARE
IN
Enumeration date
10/20/2006
Last updated
08/17/2011
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