ASPIRE INDIANA HEALTH INC NPI 1174032098

NPI Information

NPI: 1174032098
Provider Name: ASPIRE INDIANA HEALTH INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 15D1007472

Address:
10731 N STATE ROAD 13
ELWOOD, IN
ZIP 46036
Phone: (317) 552-5009
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ASPIRE INDIANA HEALTH INC is a federally qualified health center (fqhc) clinic center in Elwood, IN. ASPIRE INDIANA HEALTH INC NPI is 1174032098. The provider is registered as an organization entity type.

The provider's business location address is:

10731 N STATE ROAD 13
ELWOOD, IN
ZIP 46036-874
Phone: (317) 552-5009
Fax: (765) 552-8347

The provider's authorized official is Timothy D Crockett .
The authorized official title is Cfo and has the following contact phone number (317) 587-0505.

The CLIA number assigned to this NPI record is 15D1007472 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2017 and was last updated on 11/3/2023.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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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