Provider Demographics
NPI:1831722842
Name:INDIANA SIGNAL HEALTH RECEIVABLE MANAGEMENT
Entity type:Organization
Organization Name:INDIANA SIGNAL HEALTH RECEIVABLE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-238-1381
Mailing Address - Street 1:PO BOX 15127
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89114-5127
Mailing Address - Country:US
Mailing Address - Phone:765-238-1381
Mailing Address - Fax:303-845-8598
Practice Address - Street 1:3753 HOWARD HUGHES PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-0952
Practice Address - Country:US
Practice Address - Phone:765-238-1381
Practice Address - Fax:303-845-8598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2020-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201284430AMedicaid
IN201284430Medicaid