Blue River Services, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Corydon, IN
NPI 1497978746 · NPPES record last updated Jun 28, 2013
Key facts
- NPI
- 1497978746
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- BLUE RIVER SERVICES, INC.
- Practice address
- 293 Summit View Dr
Corydon, IN 47112-2131 - Phone
- (812) 738-2408
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Daniel J Lowe
- Title
- President Ceo
- Phone
- (812) 738-2408
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Blue River Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | IN | Yes |
Addresses
Primary practice location
293 Summit View Dr
Corydon, IN 47112-2131
Mailing address
PO Box 547
Corydon, IN 47112-0547
Phone (812) 738-2408
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100385650 A | Medicaid | IN |
Other providers in Corydon, IN
- Christiana Bierbaum
- Bio-Medical Applications of Indiana, Inc.
- Victoria Blankenship
- Blue River Services Inc
- Blue River Services, Inc.
- Blue River Services, Inc.
- Blue River Services, Inc.
- Stephen Anthony Bodney
- Douglas Bolda
- Michael G Bonacum
All providers in Corydon, IN · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.