MEDICARE: BOWEN HEALTH INC

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital	4231PIP	IN
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center	4230CMHC	IN
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	261QM0850X	Adult Mental Health Clinic/Center	4230CMHC	IN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	452270	OTHER	IN	MEDICARE
3	169430	OTHER	IN	MEDICARE
4	CH1896	OTHER	IN	RAILROAD MEDICARE
6	CB5225	OTHER	IN	RAILROAD MEDICARE
7	452280	OTHER	IN	MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	000000202972	OTHER	IN	ANTHEM BLUE CROSS BLUE SHIELD
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1639172810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOWEN HEALTH INC

Provider Business Mailing Address
First Line	:	2621 E JEFFERSON ST
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46580-3880
Country	:	US
Telephone Number	:	574-267-7169
Fax Number	:	574-269-3995

Provider Business Practice Location Address
First Line	:	850 N HARRISON ST
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46580-3163
Country	:	US
Telephone Number	:	574-267-7169
Fax Number	:	574-269-3995

Authorized Official
Title or Position	:	CFO
Name	:	JAY BAUMGARTNER
Credential	:
Telephone Number	:	574-267-7169

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	01/02/2026