Organization Active NPI

Bloomington Meadows GP

  • Psychiatric Hospital
  • Bloomington, IN
National Provider Identifier
1891796108
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
3241PIP Issued in IN
Legal business name
BLOOMINGTON MEADOWS GP
Practice address
3600 N Prow Rd
Bloomington, IN 47404-1616
Phone
(812) 331-8000
Fax
(812) 331-8056
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Steve Filton
Title
SRVP Cfo
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 3241PIP IN Primary

Addresses

Primary practice location

3600 N Prow Rd
Bloomington, IN 47404-1616

Mailing address

3600 N Prow Rd
Bloomington, IN 47404-1616
Phone (812) 331-8000

Other identifiers 1

IdentifierTypeStateIssuer
100273680MedicaidIN

Other names 1

  • Bloomington Meadows Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051004000352 IN Part A Provider - Hospital 6002707494 Practice locations: Bloomington, IN

Hospital certification: CCN 154041

Legal name
BLOOMINGTON MEADOWS GP
Doing business as
BLOOMINGTON MEADOWS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Aug 5, 1992
Last certification
Nov 15, 2018
Beds
78
Ownership / control type
Private (for profit)
Organization structure
PartnershipProprietary
Incorporated
Jun 30, 1998 in TN
Enrollment address
3600N Prow Rd
Bloomington, IN 47404-1616
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Bloomington Meadows HospitalCCN 154041
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0865344Bloomington Meadows Hospital3600 N Prow Rd, Bloomington, IN 47404Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Bloomington Meadows GP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
BHC Holdings Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Jan 11, 2008 100%
Valle Vista Hospital Partners LLC Organization, King of Prussia, PA LLC 5% Or Greater Indirect Ownership Interest Jan 11, 2008 63%
Limited Partnership Interest Jan 11, 2008 63%
BHC of Indiana General Partnership Organization, King of Prussia, PA 5% Or Greater Direct Ownership Interest Jan 11, 2008 99%
General Partnership Interest Jan 11, 2008 99%
George H Brunner Individual Corporate OfficerAsisstant Secretary Nov 15, 2010 100%
Charles T Brooks Individual Contracted Managing EmployeeCeo Nov 13, 2023
Indiana Psychiatric Institutes LLC Organization, King of Prussia, PA LLC 5% Or Greater Direct Ownership Interest Jan 11, 2008 1%
General Partnership Interest Jan 11, 2008 1%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Nov 15, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019
Corporate DirectorPresident Sep 19, 2019
Operational/Managerial ControlPresident Sep 19, 2019
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Charlotte E Holt Individual Contracted Managing EmployeeCfo Oct 13, 2025
Corporate OfficerCfo Oct 13, 2025
Steve Filton Individual Corporate OfficerVice President Nov 15, 2010 100%
Corporate DirectorVice President Nov 15, 2010 33.3%
Operational/Managerial ControlVice President Nov 15, 2010 100%
Columbus Hospital Partner LLC Organization, King of Prussia, PA LLC 5% Or Greater Indirect Ownership Interest Jan 11, 2008 19%
Limited Partnership Interest Jan 11, 2008 19%
Behavioral Healthcare LLC Organization, King of Prussia, PA LLC 5% Or Greater Indirect Ownership Interest Jan 11, 2008 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Nov 15, 2010 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Nov 15, 2010 100%
Lebanon Hospital Partners LLC Organization, King of Prussia, PA LLC 5% Or Greater Indirect Ownership Interest Jan 11, 2008 13%
Limited Partnership Interest Jan 11, 2008 13%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Nov 15, 2010 50%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office Operational/Managerial Control Nov 15, 2010 100%
Northern Indiana Partners LLC Organization, King of Prussia, PA LLC 5% Or Greater Indirect Ownership Interest Jan 11, 2008 5%
Limited Partnership Interest Jan 11, 2008 5%
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Jan 11, 2008 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman Mar 18, 2024 87.4%

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1891796108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N PROW RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474041616",
            "telephone_number": "812-331-8000",
            "fax_number": "812-331-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N PROW RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474041616",
            "telephone_number": "812-331-8000",
            "fax_number": "812-331-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON MEADOWS GP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SRVP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "IN",
            "license": "3241PIP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273680",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomington Meadows Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.