Organization
HHC INDIANA INC.
Active
Other names
Michiana Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SRVP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
1800 N OAK DR, PLYMOUTH, IN 46563-3406
(574) 936-3784
(574) 936-2887
Mailing address
1800 N OAK DR, PLYMOUTH, IN 46563-3406
(574) 936-3784
(574) 936-2887
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
1506-1-PIP
IN
323P00000X
Psychiatric Residential Treatment Facility
73733
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328043
BLUE CROSS PROVIDER NUMBE
IN
01
—
000000328044
BLUE CROSS PROVIDER NUMBE
IN
05
—
200483830A
—
IN
05
—
200484350A
—
IN
05
—
200484370A
—
IN
Enumeration date
06/24/2006
Last updated
03/02/2011
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