| Aspire Indiana Health-dehaven | |
|
2020 Brown St Anderson IN 46016-4218 | |
| (765) 641-8389 | |
| Not Available |
| Full Name | Aspire Indiana Health-dehaven |
|---|---|
| Speciality | Clinic/Center |
| Location | 2020 Brown St, 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 |
|---|---|
| Aspire Indiana Health-dehaven 2020 Brown St Anderson IN 46016-4218 Ph: (765) 641-8389 | Aspire Indiana Health-dehaven 2020 Brown St Anderson IN 46016-4218 Ph: (765) 641-8389 |
| NPI Number | 1801368188 |
|---|---|
| Provider Enumeration Date | 12/26/2018 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 8921314196 |
|---|---|
| Medicare Enrollment ID | O20190111000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801368188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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