| Indianapolis Treatment Center, Llc | |
|
2626 E 46th Street Ste. J Indianapolis IN 46205-2380 | |
| (317) 475-9066 | |
| (317) 257-3602 |
| Full Name | Indianapolis Treatment Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2626 E 46th Street, Indianapolis, Indiana |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indianapolis Treatment Center, Llc 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1155 Ph: () - | Indianapolis Treatment Center, Llc 2626 E 46th Street Ste. J Indianapolis IN 46205-2380 Ph: (317) 475-9066 |
| NPI Number | 1275686123 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 8022442359 |
|---|---|
| Medicare Enrollment ID | O20191219001915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275686123 | NPI | - | NPPES |
| 300008529 | Medicaid | IN | |
| 201359690A | Medicaid | IN |
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