OPEN DOOR HEALTH SERVICES NPI 1376865733

NPI Information

NPI: 1376865733
Provider Name: OPEN DOOR HEALTH SERVICES
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
319 E 2ND ST
MARION, IN
ZIP 46952
Phone: (765) 574-4971
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OPEN DOOR HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Marion, IN. OPEN DOOR HEALTH SERVICES NPI is 1376865733. The provider is registered as an organization entity type.

The provider's business location address is:

319 E 2ND ST
MARION, IN
ZIP 46952-871
Phone: (765) 574-4971
Fax: (765) 573-4973

The provider's authorized official is Toni R Estep .
The authorized official title is Ceo and has the following contact phone number (765) 747-2971.

The enumeration date for this NPI number is 2/25/2010 and was last updated on 1/31/2012.

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
1	261QF0050X	Clinic/Center	Family Planning, Non-Surgical			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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
1	200167970G	MEDICAID	INDIANA

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

NPI Synchronization or Removal

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