Limestone Treatment & Healing Center LLC
Organization Active NPI General Practice Physician · Bedford, IN
NPI 1740140599 · NPPES record last updated Apr 21, 2026
Key facts
- NPI
- 1740140599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- LIMESTONE TREATMENT & HEALING CENTER LLC
- Practice address
- 1535 G St
Bedford, IN 47421-3827 - Phone
- (812) 330-0909
- NPI assigned
- Nov 14, 2025
- Organization subpart
- No
Authorized official
- Name
- Melissa Clark
- Title
- Authorized Official
- Phone
- (800) 353-5420
Practitioners 5
-
Beth Ann Baker, NP
-
Pamela Jane Gutierrez, NURSE PRACTITIONER
-
Beverly Lynn Williams, AGPCNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2338401 | Limestone Treatment & Healing Center LLC | Certificate of waiver | Feb 9, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260507001623 | IN | Part B Supplier - Clinic/Group Practice | 4880162825 |
Receives reassigned benefits from 4 practitioners Practice locations: Bedford, IN |
National Provider Directory
Locations
1535 G St
Bedford, IN 47421
Phone (812) 330-0909
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
1535 G St
Bedford, IN 47421-3827
Mailing address
1535 G St
Bedford, IN 47421-3827
Phone (812) 330-0909
Other providers in Bedford, IN
- Lawrence County Independent Schools
- Kimberly J Ledden
- Katelyn Lee
- Leila Alter, DDS, P.C.
- Limestone Laboratory Pathology Consultants, LLC
- Jenelle Linden
- Angela Long
- Carrie Long
- Carrie Long
- Paula Lounsberry
All providers in Bedford, IN · General Practice Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.