Organization
BOWEN HEALTH INC
Active
Other names
Otis R Bowen Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BAUMGARTNER (CFO)
(574) 267-7169
Entity
Organization
Contact information
Practice address
850 N HARRISON ST, WARSAW, IN 46580-3163
(574) 267-7169
(574) 269-3995
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
(574) 267-7169
(574) 269-3995
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
4230CMHC
IN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
4230CMHC
IN
283Q00000X
Psychiatric Hospital
4231PIP
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202972
ANTHEM BLUE CROSS BLUE SHIELD
IN
05
—
100156770
—
IN
05
—
100273680A
—
IN
05
—
100428290A
—
IN
01
—
169430
MEDICARE
IN
01
—
452270
MEDICARE
IN
01
—
452280
MEDICARE
IN
01
—
CB5225
RAILROAD MEDICARE
IN
01
—
CH1896
RAILROAD MEDICARE
IN
Enumeration date
05/23/2005
Last updated
01/02/2026
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