Open Door Health Services, Inc. | |
1912 Jackson St Anderson IN 46016-4336 | |
(765) 286-7000 | |
(765) 213-2769 |
Full Name | Open Door Health Services, Inc. |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1912 Jackson St, Anderson, Indiana |
Authorized Official Name and Position | Toni R Estep (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7657472971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Open Door Health Services, Inc. 333 S Madison St Muncie IN 47305-2465 Ph: (765) 286-7000 | Open Door Health Services, Inc. 1912 Jackson St Anderson IN 46016-4336 Ph: (765) 286-7000 |
NPI Number | 1477885465 |
---|---|
Provider Enumeration Date | 02/02/2010 |
Last Update Date | 12/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477885465 | NPI | - | NPPES |
200167970H | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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