Organization
BLOOMINGTON MEADOWS GP
Active
Other names
Bloomington Meadows Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SRVP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
3600 N PROW RD, BLOOMINGTON, IN 47404-1616
(812) 331-8000
(812) 331-8056
Mailing address
3600 N PROW RD, BLOOMINGTON, IN 47404-1616
(812) 331-8000
(812) 331-8056
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
3241PIP
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273680
—
IN
Enumeration date
08/09/2005
Last updated
03/31/2015
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