Organization
PARK VIEW PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R SHELTON (PRESIDENT)
(812) 282-1888
Entity
Organization
Contact information
Practice address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318
Mailing address
510 SPRING STREET, JEFFERSONVILLE, IN 47130
(812) 282-1888
(812) 218-9318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50003891A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160780
MEDICARE
IN
01
—
2444451000
PASSPORT ADVANTAGE
KY
01
—
5002992
PASSPORT HEALTH PLAN GROUP #
KY
01
—
6764
MEDICARE GROUP #
KY
05
—
7100114160
—
KY
05
—
82900176
—
KY
01
—
CG3623
MEDICARE RAILROAD
IN
01
—
CK2274
MEDICARE RAILROAD
KY
Enumeration date
04/24/2007
Last updated
10/14/2015
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