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INDIANA HOME BASED PRIMARY CARE PC NPI 1578205548


NPI Information

NPI: 1578205548
Provider Name: INDIANA HOME BASED PRIMARY CARE PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
11550 N MERIDIAN ST STE 375-A
CARMEL, IN
ZIP 46032
Phone: (463) 223-5702
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INDIANA HOME BASED PRIMARY CARE PC is a primary care clinic center in Carmel, IN. INDIANA HOME BASED PRIMARY CARE PC NPI is 1578205548. The provider is registered as an organization entity type.

The provider's business location address is:

11550 N MERIDIAN ST STE 375-A
CARMEL, IN
ZIP 46032-956
Phone: (463) 223-5702

The provider's authorized official is Angie Mattingly .
The authorized official title is Manager Provider Enrollment and has the following contact phone number (502) 630-7425.

The enumeration date for this NPI number is 4/11/2022 and was last updated on 9/19/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareNo
2261QP2300XClinic/CenterPrimary CareYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.