NPI 1508085754

Southern Indiana Treatment Center INC.

Organisation Health Maintenance Organization Jeffersonville, IN

Practice location

Address: 1713 E 10th St, Jeffersonville, IN 47130-7100
Phone: (812) 283-4844
Fax: (812) 283-0056

Authorised official

Name: Dwight Leroy Blackburn
Title: Medical Director
Phone: (812) 283-4844

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1508085754
Entity type: Organization
NPI issued: 25 Apr 2007
Record last updated: 22 Aug 2020

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.