| Easter Seals Crossroads | |
|
4740 Kingsway Dr Indianapolis IN 46205-1521 | |
| (317) 466-1000 | |
| (317) 466-2000 |
| Full Name | Easter Seals Crossroads |
|---|---|
| Speciality | Rehabilitation Practitioner |
| Location | 4740 Kingsway Dr, Indianapolis, Indiana |
| Authorized Official Name and Position | James Patrick Sandy (PRESIDENT) |
| Authorized Official Contact | 3174662015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Crossroads 4740 Kingsway Dr Indianapolis IN 46205-1521 Ph: (317) 466-1000 | Easter Seals Crossroads 4740 Kingsway Dr Indianapolis IN 46205-1521 Ph: (317) 466-1000 |
| NPI Number | 1457359838 |
|---|---|
| Provider Enumeration Date | 07/11/2005 |
| Last Update Date | 07/30/2013 |
| Medicare PECOS PAC ID | 1850302852 |
|---|---|
| Medicare Enrollment ID | O20060505000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457359838 | NPI | - | NPPES |
| 100462120 | Medicaid | IN |
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