| Eskenazi Health | |
|
720 Eskenazi Ave Indianapolis IN 46202-5187 | |
| (317) 880-4055 | |
| (317) 880-0406 |
| Full Name | Eskenazi Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 720 Eskenazi Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Christopher Scott (CHIEF CLINICAL AND REVENUE OFFICER) |
| Authorized Official Contact | 3178804440 |
| 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 | 1811059595 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Medicare PECOS PAC ID | 6709795974 |
|---|---|
| Medicare Enrollment ID | O20090318000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811059595 | NPI | - | NPPES |
| 100268870A | Medicaid | IN | |
| 000000098273 | Other | IN | ANTHEM WELLPOINT |
| 100268860A | Medicaid | IN | |
| 100268860B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 06-005023-1 (Indiana) | Primary |
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