NPIMap

Organization Active NPI

State of Indiana, Auditor of State

Doing business as Logansport State Hospital

  • Intellectual Disabilities Intermediate Care Facility
  • Logansport, IN
National Provider Identifier
1861511370
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
STATE OF INDIANA, AUDITOR OF STATE
Doing business as
Logansport State Hospital
Practice address
1098 S State Road 25
Logansport, IN 46947-6723
Phone
(574) 722-4141
Fax
(574) 735-3414
NPI assigned
Mar 28, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Robert E. Clover
Title
Assistant Superintendent
Phone
(574) 737-3611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X IN
Intellectual Disabilities Intermediate Care Facility 315P00000X IN Primary

Addresses

Primary practice location

1098 S State Road 25
Logansport, IN 46947-6723

Mailing address

1098 S State Road 25
Logansport, IN 46947-6723
Phone (574) 722-4141

Other names 1

  • Logansport State Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040105000564 IN Part B Supplier - Clinic/Group Practice 1759280118 Receives reassigned benefits from 113 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Evansville, IN; Indianapolis, IN; Logansport, IN; Madison, IN; Richmond, IN; West Lafayette, IN

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
State Board of Health32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 11

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861511370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 S STATE ROAD 25",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469476723",
            "telephone_number": "574-722-4141",
            "fax_number": "574-735-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 S STATE ROAD 25",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469476723",
            "telephone_number": "574-722-4141",
            "fax_number": "574-735-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF INDIANA, AUDITOR OF STATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLOVER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT",
        "authorized_official_telephone_number": "574-737-3611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logansport State Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logansport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.