Aspire Indiana Health - Mockingbird Hill | |
4038 Ridgeview Court Ste 1 Anderson IN 46013-2307 | |
(317) 587-0533 | |
Not Available |
Full Name | Aspire Indiana Health - Mockingbird Hill |
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Speciality | Clinic/Center |
Location | 4038 Ridgeview Court, Anderson, Indiana |
Authorized Official Name and Position | Timothy D Crockett (CFO) |
Authorized Official Contact | 3175870505 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aspire Indiana Health - Mockingbird Hill 9615 E 148th St Ste 1 Noblesville IN 46060-4371 Ph: (317) 587-0533 | Aspire Indiana Health - Mockingbird Hill 4038 Ridgeview Court Ste 1 Anderson IN 46013-2307 Ph: (317) 587-0533 |
NPI Number | 1700476306 |
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Provider Enumeration Date | 01/19/2021 |
Last Update Date | 11/03/2023 |
Medicare PECOS PAC ID | 8921314196 |
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Medicare Enrollment ID | O20210128000507 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700476306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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