| Great Provider Health Services | |
|
4267 Lafayette Rd Indianapolis IN 46254-2409 | |
| (317) 205-9710 | |
| (317) 205-9711 |
| Full Name | Great Provider Health Services |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4267 Lafayette Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Doris A Nartey (CHIEF EXECUTIVE OFFICER/NP) |
| Authorized Official Contact | 3173629737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Provider Health Services 662 Jackson St Brownsburg IN 46112-1680 Ph: (317) 205-9710 | Great Provider Health Services 4267 Lafayette Rd Indianapolis IN 46254-2409 Ph: (317) 205-9710 |
| NPI Number | 1518394402 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 01/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518394402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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