GREAT PROVIDER HEALTH SERVICES NPI 1518394402

NPI Information

NPI: 1518394402
Provider Name: GREAT PROVIDER HEALTH SERVICES
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4267 LAFAYETTE RD
INDIANAPOLIS, IN
ZIP 46254
Phone: (317) 205-9710
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GREAT PROVIDER HEALTH SERVICES is a primary care clinic center in Indianapolis, IN. GREAT PROVIDER HEALTH SERVICES NPI is 1518394402. The provider is registered as an organization entity type.

The provider's business location address is:

4267 LAFAYETTE RD
INDIANAPOLIS, IN
ZIP 46254-409
Phone: (317) 205-9710
Fax: (317) 205-9711

The provider's authorized official is Doris A Nartey .
The authorized official title is CHIEF EXECUTIVE OFFICER/NPExecutive Officer/np and has the following contact phone number (317) 362-9737.

The enumeration date for this NPI number is 10/9/2013 and was last updated on 1/25/2021.

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	261QP2300X	Clinic/Center	Primary Care			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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