Provider Type Icon

COMMUNITY REHAB SERVICES COUNTY LINE ROAD NPI 1407188980


NPI Information

NPI: 1407188980
Provider Name: COMMUNITY REHAB SERVICES COUNTY LINE ROAD
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 15D2199616

Address:
1340 E COUNTY LINE RD
SUITE U
INDIANAPOLIS, IN
ZIP 46227
Phone: (317) 497-6600
Get Directions

COMMUNITY REHAB SERVICES COUNTY LINE ROAD is an occupational medicine clinic center in Indianapolis, IN. COMMUNITY REHAB SERVICES COUNTY LINE ROAD NPI is 1407188980. The provider is registered as an organization entity type.

The provider's business location address is:

1340 E COUNTY LINE RD
SUITE U
INDIANAPOLIS, IN
ZIP 46227-874
Phone: (317) 497-6600

The provider's authorized official is Thomas E. Schnefke .
The authorized official title is Executive Director and has the following contact phone number (317) 355-6341.

The CLIA number assigned to this NPI record is 15D2199616 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2010 and was last updated on 2/8/2010.


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
1261QX0100XClinic/CenterOccupational Medicine0500050681INDIANAYes

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.