| |
26 N Arsenal Ave Indianapolis IN 46201-3808 | |
(317) 632-0123 | |
(317) 632-4362 |
Full Name | |
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Speciality | Clinic/Center |
Location | 26 N Arsenal Ave, Indianapolis, Indiana |
Authorized Official Name and Position | Joshua Bundy (DIRECTOR) |
Authorized Official Contact | 3176320123 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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26 N Arsenal Ave Indianapolis IN 46201-3808 Ph: (317) 632-0123 | 26 N Arsenal Ave Indianapolis IN 46201-3808 Ph: (317) 632-0123 |
NPI Number | 1821172248 |
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Provider Enumeration Date | 10/24/2006 |
Last Update Date | 01/24/2025 |
Medicare PECOS PAC ID | 1052732666 |
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Medicare Enrollment ID | O20200608002184 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821172248 | NPI | - | NPPES |
300040883 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Kathryn Eschmann |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871577692 PECOS PAC ID: 1759341464 Enrollment ID: I20041018000313 |
Provider Name | Gregory Lorenz |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437142502 PECOS PAC ID: 8325097199 Enrollment ID: I20050119000467 |
Provider Name | Julia A Gadlage |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1578886875 PECOS PAC ID: 3779613351 Enrollment ID: I20100608000446 |
Provider Name | Markian R Bochan |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1972541936 PECOS PAC ID: 8729110341 Enrollment ID: I20100719000003 |
Provider Name | Erin O Weah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790703601 PECOS PAC ID: 5698791200 Enrollment ID: I20111228000241 |
Provider Name | Alexis Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164806436 PECOS PAC ID: 0547574675 Enrollment ID: I20150804003774 |
Provider Name | Teresa Driskell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023233194 PECOS PAC ID: 0143517979 Enrollment ID: I20160922001042 |
Provider Name | Juan Carlos Venis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043623069 PECOS PAC ID: 8628295078 Enrollment ID: I20170807003704 |
Provider Name | Joshua Vanderbur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417424144 PECOS PAC ID: 6507102514 Enrollment ID: I20190111002830 |
Provider Name | Roslynn Porter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497280382 PECOS PAC ID: 6608142617 Enrollment ID: I20200513000902 |
Provider Name | Cassandra L Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811537244 PECOS PAC ID: 0749606259 Enrollment ID: I20200814000574 |
Provider Name | Ross Dorsey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407416233 PECOS PAC ID: 2860810728 Enrollment ID: I20200909002565 |
Provider Name | Dana L Bernacchi |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326567983 PECOS PAC ID: 9537589114 Enrollment ID: I20201020003583 |
Provider Name | Nadine Y Horn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568092716 PECOS PAC ID: 9739591777 Enrollment ID: I20201215002362 |
Provider Name | Lane M Sawyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841804655 PECOS PAC ID: 2163828344 Enrollment ID: I20210914001708 |
Provider Name | Alexandria Stallings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841952405 PECOS PAC ID: 9638569122 Enrollment ID: I20211123002289 |
Provider Name | Lyndsey Mundell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346966603 PECOS PAC ID: 8921453010 Enrollment ID: I20231010000939 |
Provider Name | Nicholas Brown |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1023569324 PECOS PAC ID: 7911350723 Enrollment ID: I20240129001945 |
Provider Name | S. Alexander Kemery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114632841 PECOS PAC ID: 7214380740 Enrollment ID: I20240131002143 |
Provider Name | Shannon Alford |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134767692 PECOS PAC ID: 4385182393 Enrollment ID: I20240821001258 |
Provider Name | Lindsey Morgan Stout |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205525987 PECOS PAC ID: 8325571094 Enrollment ID: I20241102000144 |
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