Organization
PROGRESSIVEHEALTH OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH R BERSCH (CEO)
(812) 491-3856
Entity
Organization
Contact information
Practice address
4521 LINCOLN AVE, EVANSVILLE, IN 47714-0654
(812) 477-3422
(812) 475-2020
Mailing address
150 N ROSENBERGER AVE, EVANSVILLE, IN 47712-6503
(812) 491-3856
(812) 491-1269
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200873150B
—
IN
Enumeration date
04/16/2007
Last updated
01/07/2021
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