Provider Demographics
NPI:1801822440
Name:HHC INDIANA INC.
Entity type:Organization
Organization Name:HHC INDIANA INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
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
IN73733323P00000X
IN1506-1-PIP283Q00000X
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