STATE OF INDIANA, AUDITOR OF STATE (NPI# 1932225752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932225752 |
| Entity Type | Organization |
| Organization Name | STATE OF INDIANA, AUDITOR OF STATE |
| Other Organization Name | MADISON STATE HOSPITAL |
| Practice Address |
711 Green Rd Madison IN 47250-2143 |
| Practice Telephone | 8122652611 |
| Practice Fax Number | 8122657225 |
| Mailing Telephone | 8122652611 |
| Mailing Fax Number | 8122657225 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-02-01 |
| Authorized Official Name | DR. PEGGY S STEPHENS (SUPERINTENDANT AND MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8122652611 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| MADISON STATE HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558389320 | State of Indiana, Auditor of State | Psychiatric Hospital | 3300 E Morgan Ave, Evansville, IN 47715-2232 | 2006-07-18 |
| 1902856768 | State of Indiana, Auditor of State | Intermediate Care Facility, Mentally Retarded | 1098 S State Road 25, Logansport, IN 46947-6723 | 2006-05-11 |
| 1356667109 | State of Indiana, Auditor of State | Pharmacy | 3851 N River Rd, Pharmacy Department, West Lafayette, IN 47906-3762 | 2010-04-19 |
| 1538337563 | State of Indiana, Auditor of State | Psychiatric Hospital | 3300 E Morgan Ave, Evansville, IN 47715-2232 | 2008-02-12 |
| 1861511370 | State of Indiana, Auditor of State | Psychiatric Hospital | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-03-28 |
| 1376660027 | State of Indiana, Auditor of State | Pharmacy | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-03-26 |
| 1043338684 | State of Indiana, Auditor of State | Psychiatric Hospital | 5435 East 16th Street, Indianapolis, IN 46218-5101 | 2007-03-26 |
| 1659498731 | State of Indiana, Auditor of State | Psychiatric Hospital | 1098 S State Road 25, Logansport, IN 46947-6723 | 2007-03-23 |
| 1578680666 | State of Indiana, Auditor of State | Pharmacy | 498 Nw 18th St, Richmond, IN 47374-2851 | 2007-03-23 |
| 1659497477 | State of Indiana, Auditor of State | Psychiatric Hospital | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| Street Address |
711 GREEN RD |
| City | MADISON |
| State | IN |
| Zip Code | 47250-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699765198 | Michael D Foster | Psychiatry & Neurology | 711 Green Rd, Madison, IN 47250-2143 | 2005-10-26 |
| 1740835164 | Kimberly Kay Beverly | Nurse Practitioner | 711 Green Rd, Madison, IN 47250-2143 | 2019-08-02 |
| 1023454295 | Nancy H Burkhardt | Dentist | 711 Green Rd, Madison, IN 47250-2143 | 2013-05-15 |
| 1205271749 | Stacie Lynn Hall | Pharmacist | 711 Green Rd, Madison, IN 47250-2143 | 2013-05-09 |
| 1659497477 | State of Indiana, Auditor of State | Psychiatric Hospital | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| 1649396466 | State of Indiana, Auditor of State | Pharmacy | 711 Green Rd, Madison, IN 47250-2143 | 2007-03-22 |
| 1477596757 | State of Indiana Auditor of State | Pharmacy | 711 Green Rd, Madison, IN 47250-2143 | 2006-06-14 |
| 1164478939 | Gwendolyn Heaton | Psychiatry & Neurology | 711 Green Rd, Madison, IN 47250-2143 | 2006-05-25 |
| 1700876224 | State of Indiana, Auditor of State | Psychiatric Hospital | 711 Green Rd, Madison, IN 47250-2143 | 2005-10-26 |
| 1437149945 | Howard C Jackson Jr. | Family Medicine | 711 Green Rd, Madison, IN 47250-2199 | 2005-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020616 | Viaquest Healthcare Central | Intermediate Care Facility, Mentally Retarded | 6873 Dave Dr, Madison, OH 44057-1105 | 2020-10-15 |
| 1508080680 | New Avenues To Independence, Inc. | Intermediate Care Facility, Mentally Retarded | 5051 S Ridge Rd, Madison, OH 44057-9709 | 2007-04-12 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1437277555 | Rescare Inc | Intermediate Care Facility, Mentally Retarded | 402 Presbyterian Ave, Madison, IN 47250-3333 | 2007-03-27 |
| 1457415341 | Rescare | Intermediate Care Facility, Mentally Retarded | 330 Jackson Ave, Madison, WV 25130-1318 | 2006-12-22 |
| 1033286190 | Miller Holdings Stewart, Inc. | Intermediate Care Facility, Mentally Retarded | 7774 Warner Rd, Madison, OH 44057-9547 | 2006-11-30 |
| 1891393344 | Viaquest Healthcare Central | Intermediate Care Facility, Mentally Retarded | 3142 County Line Rd, Madison, OH 44057-9705 | 2020-10-15 |
| 1487252037 | Viaquest Healthcare Central | Intermediate Care Facility, Mentally Retarded | 2243 Cambrian Way, Madison, OH 44057-2409 | 2020-10-15 |
| 1396378535 | Viaquest Healthcare Central | Intermediate Care Facility, Mentally Retarded | 5278 Lockwood Rd, Madison, OH 44057-2313 | 2020-02-17 |
| 1780043588 | Living Opportunities | Intermediate Care Facility, Mentally Retarded | 3142 County Line Rd, Madison, OH 44057-9705 | 2016-02-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.