| Aspire Indiana Health Inc. | |
|
1600 W Main St Lebanon IN 46052-2388 | |
| (317) 574-1254 | |
| (317) 674-0060 |
| Full Name | Aspire Indiana Health Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 W Main St, Lebanon, Indiana |
| Authorized Official Name and Position | Timothy D Crockett (CFO) |
| Authorized Official Contact | 3175870505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Indiana Health Inc. 9615 E 148th St Ste 1 Noblesville IN 46060-4371 Ph: (317) 574-1254 | Aspire Indiana Health Inc. 1600 W Main St Lebanon IN 46052-2388 Ph: (317) 574-1254 |
| NPI Number | 1851890107 |
|---|---|
| Provider Enumeration Date | 02/01/2018 |
| Last Update Date | 07/23/2025 |
| Medicare PECOS PAC ID | 8921314196 |
|---|---|
| Medicare Enrollment ID | O20180212000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851890107 | NPI | - | NPPES |
| 151014 | Other | IN | MEDICARE |
| 300010986 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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