NPIMap

Organization Active NPI

North Central Health Services, Inc.

  • Psychiatric Hospital
  • West Lafayette, IN
National Provider Identifier
1225362973
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
NORTH CENTRAL HEALTH SERVICES, INC.
Practice address
2900 N River Rd
West Lafayette, IN 47906-3744
Phone
(765) 463-2555
NPI assigned
Sep 29, 2009
Last updated
Sep 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Mr. John R. Walling
Title
President/Ceo
Phone
(765) 423-1604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

2900 N River Rd
West Lafayette, IN 47906-3744

Mailing address

201 Main St
#606
Lafayette, IN 47901-1277
Phone (765) 423-1604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100204000204 IN Part A Provider - Hospital 7517000185 Practice locations: West Lafayette, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225362973. Details of each certification follow.

Hospital certification: CCN 154005

Legal name
NORTH CENTRAL HEALTH SERVICES, INC.
Doing business as
RIVER BEND HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
May 2, 2018
Beds
16
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 15, 2010 (1 total)
Organization structure
OtherNon-profit
Enrollment address
2900 N River Rd
West Lafayette, IN 47906-3744
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Wabash Valley Alliance, Inc. / River Bend HospitalCCN 154005 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
North Central Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David McGaughey Individual Corporate Director Jan 18, 2024
Stephanie Long Individual Corporate Officer Feb 19, 2015
Corporate Director Feb 19, 2015
W-2 Managing Employee Jan 5, 2015
North Central Health Services, Inc. Organization, West Lafayette, IN Non-profit 5% Or Greater Direct Ownership Interest Jan 15, 2010 100%
Jamie Sego Individual Corporate OfficerChief Financial Officer Apr 1, 2019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1225362973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAIN ST",
            "address_2": "#606",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479011277",
            "telephone_number": "765-423-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N RIVER RD",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063744",
            "telephone_number": "765-463-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "WALLING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "765-423-1604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.