| |
1701 N Senate Indianapolis IN 46202-5306 | |
(317) 962-9303 | |
Not Available |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 1701 N Senate, Indianapolis, Indiana |
Authorized Official Name and Position | Ryan Kitchell (EVP / CFO) |
Authorized Official Contact | 3179623164 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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950 N Meridian St Atten: Jay Collins, Government Programs Suite 800 Indianapolis IN 46204-1077 Ph: (317) 963-1138 | 1701 N Senate Indianapolis IN 46202-5306 Ph: (317) 962-9303 |
NPI Number | 1164451613 |
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Provider Enumeration Date | 06/30/2006 |
Last Update Date | 10/16/2013 |
Medicare PECOS PAC ID | 2365350675 |
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Medicare Enrollment ID | O20051028000022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164451613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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