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INDIANA CLINIC CRITICAL CARE LLC NPI 1417285230


NPI Information

NPI: 1417285230
Provider Name: INDIANA CLINIC CRITICAL CARE LLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1801 N SENATE BLVD
STE 230
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 962-5820
Get Directions

INDIANA CLINIC CRITICAL CARE LLC is a pulmonary disease internal medicine in Indianapolis, IN. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. INDIANA CLINIC CRITICAL CARE LLC NPI is 1417285230. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1801 N SENATE BLVD
STE 230
INDIANAPOLIS, IN
ZIP 46202-228
Phone: (317) 962-5820
Fax: (317) 962-3916

The provider's authorized official is Judith L Coleman .
The authorized official title is Cfo and has the following contact phone number (317) 948-3525.

The enumeration date for this NPI number is 12/7/2009 and was last updated on 9/14/2023.


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
1207R00000XInternal MedicineNo
2207RC0200XInternal MedicineCritical Care MedicineNo
3207RH0002XInternal MedicineHospice and Palliative MedicineNo
4207RS0012XInternal MedicineSleep MedicineNo
5208M00000XHospitalistNo
6207RP1001XInternal MedicinePulmonary DiseaseYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200984010MEDICAIDINDIANA

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

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