Fayette Memorial Hospital Assoc Inc

NPI 1053370270 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1053370270
Enumeration Date 03/18/2006
Last Updated 03/23/2016
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name RANDALL RANDALL
Position CEO
Phone (765) 827-7890
Fax (765) 825-6628
Practice Location
450 ERIE AVE
CONNERSVILLE IN, 47331-3176, US
Phone (765) 827-7890
Fax (765) 825-6628
Business Location
1941 VIRGINIA AVE
CONNERSVILLE IN, 47331-2833, US
Phone (765) 827-8933
Fax (765) 827-7863
Toxanomy
Taxonomy Code 323P00000X
License State Indiana
License Number 7352421900926
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According to our database, Fayette Memorial Hospital Assoc Inc NPI is 1053370270, taxonomy code is 323P00000X and license number is 7352421900926, license state is located at Indiana. Fayette Memorial Hospital Assoc Inc physically located at 450 Erie Ave, Connersville IN, 47331-3176. NPI Number 1033115704 has the healthcare provider type.

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1053370270 NPI number is provided on an as is basis without warranty of any kind. 1053370270 is maintained by the National Plan & Provider Enumeration System. The contents of Fayette Memorial Hospital Assoc Inc are for informational purposes only.