ODYSSEY PRIMARY CARE CENTER LLC NPI 1538575584

NPI Information

NPI: 1538575584
Provider Name: ODYSSEY PRIMARY CARE CENTER, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2708 PAOLI PIKE STE I
NEW ALBANY, IN
ZIP 47150
Phone: (812) 725-0985
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ODYSSEY PRIMARY CARE CENTER, LLC is a primary care clinic center in New Albany, IN. ODYSSEY PRIMARY CARE CENTER, LLC NPI is 1538575584. The provider is registered as an organization entity type.

The provider's business location address is:

2708 PAOLI PIKE STE I
NEW ALBANY, IN
ZIP 47150-100
Phone: (812) 725-0985
Fax: (812) 704-5722

The provider's authorized official is Amy Renee Bedan Poff .
The authorized official title is Owner and has the following contact phone number (502) 777-7195.

The enumeration date for this NPI number is 7/9/2014 and was last updated on 11/11/2015.

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	261QP2300X	Clinic/Center	Primary Care			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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