| Open Door Health Services, Inc. | |
|
2101 Jackson St Suite 8, Medical Arts Bldg. Anderson IN 46016-4388 | |
| (765) 286-7000 | |
| (765) 213-2769 |
| Full Name | Open Door Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2101 Jackson St, Anderson, Indiana |
| Authorized Official Name and Position | Toni R Estep (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7652814257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Health Services, Inc. Po Box 1676 Muncie IN 47308-1676 Ph: (765) 281-4257 | Open Door Health Services, Inc. 2101 Jackson St Suite 8, Medical Arts Bldg. Anderson IN 46016-4388 Ph: (765) 286-7000 |
| NPI Number | 1508811910 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 05/11/2016 |
| Medicare PECOS PAC ID | 5890696603 |
|---|---|
| Medicare Enrollment ID | O20100818000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508811910 | NPI | - | NPPES |
| 200167970E | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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