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General NPI Number Information
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NPI Number | 1912005935
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Entity Type | Organization
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Legal Business Name | FRANCISCAN HEALTH CRAWFORDSVILLE
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 1710 LAFAYETTE RD
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933-1033
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Country | US
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Telephone | 765-362-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 LAFAYETTE RD
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933-1033
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Country | US
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Telephone | 765-362-2800
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE DIRECTOR
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Name | MR. TERRANCE E WILSON
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Credential |
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Telephone | 765-502-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 06-005021-2
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License Number State | IN
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