NPIMap

Organization Active NPI

The Hoosier Christian Village

  • Rehabilitation Clinic/Center
  • Brownstown, IN
National Provider Identifier
1679878722
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
06-000277-1 Issued in IN
Legal business name
THE HOOSIER CHRISTIAN VILLAGE
Practice address
621 S Sugar St
Brownstown, IN 47220-2066
Phone
(812) 358-2504
Fax
(812) 358-2510
NPI assigned
Jan 21, 2011
Last updated
Dec 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Mrs. Susan McGhee
Title
Chief Fiancial Officer
Phone
(314) 587-7903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 06-000277-1 IN Primary

Addresses

Primary practice location

621 S Sugar St
Brownstown, IN 47220-2066

Mailing address

621 S Sugar St
Brownstown, IN 47220-2066
Phone (812) 358-2504

Other identifiers 1

IdentifierTypeStateIssuer
100290530MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1679878722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S SUGAR ST",
            "city": "BROWNSTOWN",
            "state": "IN",
            "postal_code": "472202066",
            "telephone_number": "812-358-2504",
            "fax_number": "812-358-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S SUGAR ST",
            "city": "BROWNSTOWN",
            "state": "IN",
            "postal_code": "472202066",
            "telephone_number": "812-358-2504",
            "fax_number": "812-358-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOOSIER CHRISTIAN VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF FIANCIAL OFFICER",
        "authorized_official_telephone_number": "314-587-7903",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IN",
            "license": "06-000277-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100290530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.