National Provider Identifier Database

SOUTHERN INDIANA REHABILITATION HOSPITAL
Rehabilitation Hospital

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.


Contact Information

SOUTHERN INDIANA REHABILITATION HOSPITAL
3104 BLACKISTON BLVD
NEW ALBANY, IN47150-9579
Phone: 812-941-8300
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation Hospital 283X00000X

* Indicates primary specialty

NPI Profile & details for SOUTHERN INDIANA REHABILITATION HOSPITAL

NPI Number 1578562625
Legal business name
LBN
SOUTHERN INDIANA REHABILITATION HOSPITAL
Authorized official RANDY NAPIER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 07/20/2005
Last updated 08/28/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 050062051
  • IN Medicaid: 100368680A
  • KY Medicaid: 01341718
  • IN Other: 000000054356 ANTHEM
  • IN Other: 030011100 BLACK LUNG
  • IN Other: 1018454 CHAMPUS
  • IN Other: 200715810 IN FIRST STEPS
  • IN Other: 200715810A IN MEDICAID FOR SIRH FIRST STEPS GROUP
  • IN Other: 200350290A IN MEDICAID FOR SIRH GROUP
  • IN Other: 5000072 UNITED HEALTHCARE
  • IN Other: 129343300 US DEPARTMENT OF LABOR
  • KY Other: 1058292 PASSPORT
  • KY Other: 2433921000 PASSPORT ADVANTAGE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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