NPIMap

Organization Active NPI

Four County Comprehensive Mental Health Center, Inc

Doing business as 4C Health

  • Psychiatric Hospital
  • Peru, IN
National Provider Identifier
1457539751
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
427-1-PIP Issued in IN
Legal business name
FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER, INC
Doing business as
4C Health
Practice address
1000 N Broadway
Peru, IN 46970-1070
Phone
(574) 722-5151
Fax
(574) 739-1414
NPI assigned
Feb 8, 2008
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Carrie Ann CadwellNPI 1316935059
Title
Ceo
Phone
(574) 721-3983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 427-1-PIP IN Primary

Addresses

Primary practice location

1000 N Broadway
Peru, IN 46970-1070

Mailing address

2355 S Business 31
Peru, IN 46970-8985
Phone (574) 722-5151

Other practice location 1

1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151

Other names 1

  • 4C Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457539751. Details of each certification follow.

Hospital certification: CCN 154035

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
4C HEALTH
Certification status
Terminated Voluntary: merger or closure, Sep 28, 2025
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 16, 1990
Last certification
Feb 14, 2024
Beds
15
Ownership / control type
Private (not for profit)
Facility address
1015 Michigan Ave
Logansport, IN 46947

National Provider Directory

National Provider Directory

Locations

1948 W Boulevard
#4C
Kokomo, IN 46902

1954 W Boulevard
Kokomo, IN 46902
Phone (765) 452-5437

1954 W Boulevard
#Four
Kokomo, IN 46902

1015 Michigan Ave
Logansport, IN 46947

1120 Spear St
Logansport, IN 46947
Phone (574) 732-0701

1807 Smith St
Logansport, IN 46947
Phone (574) 732-1414

2496 E County Road 125 N
Logansport, IN 46947
Phone (574) 722-4042

801 S 6TH St Ste D
4C Health
Monticello, IN 47960

655 E Main St
Peru, IN 46970
Phone (765) 472-1931

661 E Main St
#B
Peru, IN 46970
Phone (765) 472-1931

401 E 8th St
Rochester, IN 46975
Phone (574) 223-8565

405 Fairgrounds Rd
Tipton, IN 46072
Phone (765) 408-0536

118 N Sally Dr
Winamac, IN 46996
Phone 5749464233 ext. 4334

144 S 100 W
Rm 3
Winamac, IN 46996
Phone (574) 946-4233

2418 Curtis Dr
#4C
Winamac, IN 46996

613 Terrace Dr
#Four
Winamac, IN 46996

Practitioners & affiliated clinicians

Practitioners 159

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.

View all 159

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1457539751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 S BUSINESS 31",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469708985",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N BROADWAY",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701070",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471526",
            "country_code": "US",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUR COUNTY COMPREHENSIVE MENTAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "CADWELL",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-721-3983"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "IN",
            "license": "427-1-PIP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4C Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peru, IN

Sources for this page

Verify at the official NPI Registry.