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SAINT DAMIAN SERVICES LLC NPI 1972377703


NPI Information

NPI: 1972377703
Provider Name: SAINT DAMIAN SERVICES LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
3902 MADISON AVE
INDIANAPOLIS, IN
ZIP 46227
Phone: (317) 383-1183
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SAINT DAMIAN SERVICES LLC is a methadone clinic center in Indianapolis, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. SAINT DAMIAN SERVICES LLC NPI is 1972377703. The provider is registered as an organization entity type.

The provider's business location address is:

3902 MADISON AVE
INDIANAPOLIS, IN
ZIP 46227-312
Phone: (317) 383-1183

The provider's authorized official is Terrance Kinnard .
The authorized official title is Managing Member and has the following contact phone number (131) 738-3118.

The enumeration date for this NPI number is 11/13/2023 and was last updated on 11/13/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.