Organization
FRANCISCAN HEALTH RENSSELAER, INC.
Active
Organization
FRANCISCAN HEALTH RENSSELAER, INC.
Active
Parent organization
FRANCISCAN HEALTH RENSSELAER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN HEALTH RENSSELAER
Authorized official
MR. TERRANCE E WILSON (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(765) 502-4440
Entity
Organization
Contact information
Practice address
1104 E GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3234
Mailing address
1104 E GRACE ST, RENSSELAER, IN 47978-3211
(219) 866-5141
(219) 866-3234
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
05-005072-2
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097884
BLUE CROSS ID
IN
05
—
0150078
—
TN
05
—
0175224
—
OH
05
—
0564195
—
IN
05
—
100269660A
—
IN
05
—
80536700
—
WI
05
—
909962000
—
FL
05
—
MEDICAID CARESOURCE
—
IN
Enumeration date
10/27/2006
Last updated
10/17/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up