Provider Demographics
NPI:1801822440
Name:HHC INDIANA INC.
Entity Type:Organization
Organization Name:HHC INDIANA INC.
Other - Org Name:MICHIANA BEHAVIORAL HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SRVP CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:1800 N OAK DR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:IN
Mailing Address - Zip Code:46563-3406
Mailing Address - Country:US
Mailing Address - Phone:574-936-3784
Mailing Address - Fax:574-936-2887
Practice Address - Street 1:1800 N OAK DR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:IN
Practice Address - Zip Code:46563-3406
Practice Address - Country:US
Practice Address - Phone:574-936-3784
Practice Address - Fax:574-936-2887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1506-1-PIP283Q00000X
IN73733323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000328044OtherBLUE CROSS PROVIDER NUMBE
IN200483830AMedicaid
IN200484370AMedicaid
IN000000328043OtherBLUE CROSS PROVIDER NUMBE
IN200484350AMedicaid
IN200484350AMedicaid
IN200483830AMedicaid