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GENNESARET FREE CLINIC INC NPI 1932375227


NPI Information

NPI: 1932375227
Provider Name: GENNESARET FREE CLINIC, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 15D1002827

Address:
725 N ALABAMA ST
INDIANAPOLIS, IN
ZIP 46204
Phone: (317) 955-0217
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GENNESARET FREE CLINIC, INC is a primary care clinic center in Indianapolis, IN. GENNESARET FREE CLINIC, INC NPI is 1932375227. The provider is registered as an organization entity type.

The provider's business location address is:

725 N ALABAMA ST
INDIANAPOLIS, IN
ZIP 46204
Phone: (317) 955-0217
Fax: (317) 955-0641

The provider's authorized official is Rebecca Ann Seifert .
The authorized official title is Executive Director and has the following contact phone number (317) 639-5645.

The CLIA number assigned to this NPI record is 15D1002827 - other - free clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/6/2008 and was last updated on 5/6/2008.


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
1261QP2300XClinic/CenterPrimary CareINDIANAYes

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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