Whalio Doctors

NPI 1053370270

Fayette Memorial Hospital Association INC

Organisation Psychiatric Residential Treatment Facility Connersville, IN

Practice location

Address
450 Erie Ave, Connersville, IN 47331-3176
Phone
(765) 827-7890
Fax
(765) 825-6628
Mailing address
1941 Virginia Ave, Connersville, IN 47331-2833

Authorised official

Name
Randall White
Title
Ceo
Phone
(765) 827-7987

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence 7352421900926 (IN)

Registry record

NPI
1053370270
Entity type
Organization
NPI issued
18 Mar 2006
Record last updated
23 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.