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Contact Information

GERIATRIC PSYCHIATRIC SERVICES PLLC
445 S COUNTY ROAD 525 E
AVON, IN46123-8361
 Phone: 317-745-2522
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for GERIATRIC PSYCHIATRIC SERVICES PLLC

NPI # 1306172788
LBN Legal business name GERIATRIC PSYCHIATRIC SERVICES PLLC
Authorized official ROBERT CLEMENTE - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2009
Last updated 10/20/2009 - About 17 years ago
Identifiers
IN Other IN260860 MEDICARE PTAN
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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