HEROH FUNCTIONAL INSTITUTE PC NPI 1457984064

NPI Information

NPI: 1457984064
Provider Name: HEROH FUNCTIONAL INSTITUTE PC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
8425 CASTLETON CORNER DR
INDIANAPOLIS, IN
ZIP 46250
Phone: (317) 400-5853
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HEROH FUNCTIONAL INSTITUTE PC is a health service clinic center in Indianapolis, IN. HEROH FUNCTIONAL INSTITUTE PC NPI is 1457984064. The provider is registered as an organization entity type.

The provider's business location address is:

8425 CASTLETON CORNER DR
INDIANAPOLIS, IN
ZIP 46250-580
Phone: (317) 400-5853
Fax: (317) 947-0909

The provider's authorized official is B Jermaine Ware .
The authorized official title is Clinic Director and has the following contact phone number (317) 400-5853.

The enumeration date for this NPI number is 2/21/2020 and was last updated on 2/21/2020.

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	261QH0100X	Clinic/Center	Health Service			Yes

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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