| Eskenazi Health | |
|
720 Eskenazi Ave Indianapolis IN 46202-5187 | |
| (317) 880-4055 | |
| (317) 880-0406 |
| Full Name | Eskenazi Health |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 720 Eskenazi Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Lisa E Harris (CEO) |
| Authorized Official Contact | 3178804873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eskenazi Health 720 Eskenazi Ave Indianapolis IN 46202-5166 Ph: (317) 880-4055 | Eskenazi Health 720 Eskenazi Ave Indianapolis IN 46202-5187 Ph: (317) 880-4055 |
| NPI Number | 1568407310 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 06/06/2024 |
| Certification Date | 09/07/2023 |
| Medicare PECOS PAC ID | 6709795974 |
|---|---|
| Medicare Enrollment ID | O20090318000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568407310 | NPI | - | NPPES |
| 100268850A | Medicaid | IN | |
| CC-200152530A | Medicaid | IN | |
| M-200152600A | Medicaid | IN | |
| 100268860B | Medicaid | IN | |
| B-200152540A | Medicaid | IN | |
| GC-200152590A | Medicaid | IN | |
| MY-100291690B | Medicaid | IN | |
| 100286700A | Medicaid | IN | |
| FM-200152510A | Medicaid | IN | |
| R-100291690A | Medicaid | IN | |
| 100268870A | Medicaid | IN | |
| PC-200152630A | Medicaid | IN | |
| 100268860A | Medicaid | IN | |
| NA-200152640A | Medicaid | IN | |
| 000000098273 | Other | IN | ANTHEM/WELLPOINT |
| W-200152610A | Medicaid | IN |
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