| Aspire Indiana Health-progress House Main | |
|
201 Shelby St Rm 101103 Indianapolis IN 46202-3943 | |
| (317) 637-9816 | |
| Not Available |
| Full Name | Aspire Indiana Health-progress House Main |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Shelby St Rm 101103, Indianapolis, 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-progress House Main 9615 E 148th St Ste 1 Noblesville IN 46060-4371 Ph: (317) 587-0533 | Aspire Indiana Health-progress House Main 201 Shelby St Rm 101103 Indianapolis IN 46202-3943 Ph: (317) 637-9816 |
| NPI Number | 1487268413 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 8921314196 |
|---|---|
| Medicare Enrollment ID | O20201005001478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487268413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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