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Contact Information

SOUTHERN INDIANA REHABILITATION HOSPITAL
3104 BLACKISTON BLVD
NEW ALBANY, IN47150-9579
 Phone: 812-941-8300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
Indicates primary specialty

NPI Profile & details for SOUTHERN INDIANA REHABILITATION HOSPITAL

NPI # 1578562625
LBN Legal business name SOUTHERN INDIANA REHABILITATION HOSPITAL
Authorized official RANDY NAPIER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2005
Last updated 08/28/2012 - About 14 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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