NPIMap

Organization Active NPI

Southern Indiana Treatment Center

  • Nursing Care Agency
  • Charlestown, IN
National Provider Identifier
1205293701
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
27025026A Issued in IN
Legal business name
SOUTHERN INDIANA TREATMENT CENTER
Practice address
6509 Charlestown Pike
Charlestown, IN 47111-9622
Phone
(812) 256-4686
Fax
(812) 256-3949
NPI assigned
Jan 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debra Lynn Fife
Title
LPN
Phone
(812) 256-4686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 27025026A IN Primary

Addresses

Primary practice location

6509 Charlestown Pike
Charlestown, IN 47111-9622

Mailing address

6509 Charlestown Pike
Charlestown, IN 47111-9622
Phone (812) 256-4686

National Provider Directory

National Provider Directory
Tax ID family
Southern Indiana Treatment Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1205293701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 CHARLESTOWN PIKE",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119622",
            "telephone_number": "812-256-4686",
            "fax_number": "812-256-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 CHARLESTOWN PIKE",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119622",
            "telephone_number": "812-256-4686",
            "fax_number": "812-256-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "FIFE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "812-256-4686"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IN",
            "license": "27025026A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.