| Indiana Clinic | |
|
1701 N Senate Blvd Indianapolis IN 46202-1239 | |
| (317) 962-2622 | |
| (317) 963-8252 |
| Full Name | Indiana Clinic |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1701 N Senate Blvd, Indianapolis, Indiana |
| Authorized Official Name and Position | Jane Ann Olise-aikins (ASSESSMENT SPECIALIST) |
| Authorized Official Contact | 3179622622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Clinic 1701 N Senate Blvd Indianapolis IN 46202-1239 Ph: (317) 962-2622 | Indiana Clinic 1701 N Senate Blvd Indianapolis IN 46202-1239 Ph: (317) 962-2622 |
| NPI Number | 1730492018 |
|---|---|
| Provider Enumeration Date | 07/15/2010 |
| Last Update Date | 07/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730492018 | NPI | - | NPPES |
| 2000119790 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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