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WHITE RIVER DEVELOPMENT GROUP INC. NPI 1275701633


NPI Information

NPI: 1275701633
Provider Name: WHITE RIVER DEVELOPMENT GROUP, INC.

Doing Business As: THE COMPLEMENTARY MEDICINE CENTER

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1250 E COUNTY LINE RD
SUITE 2
INDIANAPOLIS, IN
ZIP 46227
Phone: (317) 885-3677
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WHITE RIVER DEVELOPMENT GROUP, INC. is a family nurse practitioner in Indianapolis, IN. WHITE RIVER DEVELOPMENT GROUP, INC. NPI is 1275701633. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Complementary Medicine Center.

The provider's business location address is:

1250 E COUNTY LINE RD
SUITE 2
INDIANAPOLIS, IN
ZIP 46227-004
Phone: (317) 885-3677
Fax: (317) 885-3678

The provider's authorized official is Susie Anderson .
The authorized official title is Practice Manager and has the following contact phone number (317) 885-3677.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 2/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily71000465AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S52040MEDICARE UPININDIANA
271000465OTHERINDIANALICENSE
3595590HHHOTHERINDIANAMEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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