Provider Demographics
NPI:1376707208
Name:CLARIAN HEALTH PARTNERS
Entity Type:Organization
Organization Name:CLARIAN HEALTH PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF QUALITY
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:DNS
Authorized Official - Phone:317-962-6144
Mailing Address - Street 1:209 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGPORT
Mailing Address - State:IN
Mailing Address - Zip Code:47386-9744
Mailing Address - Country:US
Mailing Address - Phone:765-755-3231
Mailing Address - Fax:
Practice Address - Street 1:209 N 2ND ST
Practice Address - Street 2:
Practice Address - City:SPRINGPORT
Practice Address - State:IN
Practice Address - Zip Code:47386-9744
Practice Address - Country:US
Practice Address - Phone:765-755-3231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28105361282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital