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RICHMOND STATE HOSPITAL
NPI 1093933236
Psychiatric Hospital in Richmond, IN

Active since April 23, 2007CLIA 15D0360480 · Waiver
498 NW 18TH ST, RICHMOND, IN 47374(765) 966-0511(765) 935-9503 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richmond State Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHMOND STATE HOSPITAL (NPI 1093933236) is a healthcare organization registered as a psychiatric hospital in Richmond, Indiana and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists David M Shelford, Assistant Superintendent, as its authorized official.

NPPES Registry Identity

NPI1093933236
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSTATE OF INDIANA - AUDITOR OF STATE
Location Address498 NW 18TH STRichmond, IN 47374-2851
Mailing Address498 Nw 18th StRichmond, IN 47374-2851 · (765) 966-0511 · Fax (765) 935-9507
Phone(765) 966-0511
Fax(765) 935-9503
Organization SubpartYesParent: Indiana State Family & Social Service Adm
Authorized OfficialDavid M ShelfordAssistant Superintendent · (765) 935-9206
Enumeration DateApril 23, 2007
Last NPPES UpdateMay 5, 2014
✔ NPI 1093933236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
498 NW 18TH ST, Richmond, IN 47374
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Other Names 1

Doing Business AsRichmond State Hospital

Other Identifiers 2

Medicare ID-Type Unspecified940980IN · Part B
Medicaid100256720AIN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0360480

Richmond State Hospital · Richmond, IN
Active · expires Jul 26, 2027
CLIA Number15D0360480
Laboratory TypeHospital
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorCarmela Kitchin
Laboratory Phone(765) 966-0511
Laboratory LocationRichmond State Hospital498 NW 18th St, Richmond, IN 47374
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAUL BURCIAGA M.D.
Psychiatry & Neurology (Psychiatry)
498 NW 18TH ST
RICHMOND, IN 47374
Wayne County (765) 966-0511
MERIDIAN HEALTH SERVICES CORP
Substance Abuse Rehabilitation Facility
498 NW 18TH ST, SUITE B
RICHMOND, IN 47374
Wayne County (765) 288-1928
DR. JOSHUA NOLAN PSY.D., HSPP
Psychologist (Clinical)
498 NW 18TH ST
RICHMOND, IN 47374
Wayne County (765) 935-9319
DR. MICHAL HORNICEK M.D.
Community Based Residential Treatment Facility, Mental Illness
498 NW 18TH ST
RICHMOND, IN 47374
Wayne County (765) 935-9313
DR. LAURA LYNN QUAST MD
Psychiatry & Neurology (Psychiatry)
498 NW 18TH ST
RICHMOND, IN 47374
Wayne County (765) 966-0511
ERICA NICOLE MILLER MSN, APRN, FNP-C
Nurse Practitioner (Family)
498 NW 18TH ST
RICHMOND, IN 47374
Wayne County (765) 966-0511
MERIDIAN HEALTH SERVICES CORP
Substance Abuse Rehabilitation Facility
498 NW 18TH ST, SUITE A
RICHMOND, IN 47374
Wayne County (765) 288-1928
STATE OF INDIANA, AUDITOR OF STATE
Psychiatric Hospital
498 NW 18TH ST
RICHMOND, IN 47374
Wayne County (765) 966-0511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Indiana - Auditor Of State's NPI number?

The NPI number for State Of Indiana - Auditor Of State is 1093933236. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is doing business as Richmond State Hospital.

Where is State Of Indiana - Auditor Of State located?

State Of Indiana - Auditor Of State is located at 498 NW 18th St, Richmond, IN 47374. The listed phone number is (765) 966-0511.

What is State Of Indiana - Auditor Of State's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does State Of Indiana - Auditor Of State hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0360480) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for State Of Indiana - Auditor Of State was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.