MASON HEALTH CARE LLC NPI 1780071118

NPI Information

NPI: 1780071118
Provider Name: MASON HEALTH CARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 15D2103974

Address:
4537 S NUCOR RD
CRAWFORDSVILLE, IN
ZIP 47933
Phone: (765) 364-4435
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MASON HEALTH CARE LLC is a primary care clinic center in Crawfordsville, IN. MASON HEALTH CARE LLC NPI is 1780071118. The provider is registered as an organization entity type.

The provider's business location address is:

4537 S NUCOR RD
CRAWFORDSVILLE, IN
ZIP 47933-969
Phone: (765) 364-4435
Fax: (765) 362-3662

The provider's authorized official is Jennifer Kay Newell .
The authorized official title is Manager and has the following contact phone number (765) 364-4435.

The CLIA number assigned to this NPI record is 15D2103974 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2015 and was last updated on 1/24/2024.

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	71002953A	INDIANA	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: 5/5/2024

NPI Synchronization or Removal

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