Healthcare Provider Details
I. General information
NPI: 1205980901
Provider Name (Legal Business Name): HAMILTON CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/22/2007
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
620 8TH AVE
TERRE HAUTE IN
47804-2744
US
IV. Provider business mailing address
620 8TH AVE P.O. BOX 4323
TERRE HAUTE IN
47804-2744
US
V. Phone/Fax
- Phone: 812-231-8323
- Fax: 812-231-8400
- Phone: 812-231-8323
- Fax: 812-231-8400
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | 405-0-CMHC |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 283Q00000X |
| Taxonomy | Psychiatric Hospital |
| License Number | 405-0-CMHC |
| License Number State | IN |
VIII. Authorized Official
Name:
MELVIN
BURKS
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 812-231-8323