Organization
BOWEN HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY M BAUMGARTNER (VP FISCAL DIVISION)
(574) 267-7169
Entity
Organization
Contact information
Practice address
1535 PROVIDENT DR., WARSAW, IN 46580
(574) 267-7169
(574) 269-3995
Mailing address
850 N HARRISON ST, WARSAW, IN 46580-3163
(574) 267-7169
(574) 269-3995
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
423-0-PIP
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202972
BLUE CROSS PROVIDER ID
IN
05
—
100273260
—
IN
Enumeration date
02/05/2007
Last updated
11/11/2024
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