Ourhealth Physician Group, Llc | |
402 W Washington St Rm W041 Indianapolis IN 46204-2763 | |
(866) 434-3255 | |
Not Available |
Full Name | Ourhealth Physician Group, Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 402 W Washington St Rm W041, Indianapolis, Indiana |
Authorized Official Name and Position | Jared David Jackson (EMR CLINICAL ANALYST) |
Authorized Official Contact | 3172949682 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ourhealth Physician Group, Llc 4151 E 96th St Indianapolis IN 46240-1442 Ph: (866) 434-3255 | Ourhealth Physician Group, Llc 402 W Washington St Rm W041 Indianapolis IN 46204-2763 Ph: (866) 434-3255 |
NPI Number | 1225504418 |
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Provider Enumeration Date | 10/16/2018 |
Last Update Date | 10/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225504418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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