| Open Door Health Services, Inc. | |
|
2101 Jackson St Suite 8, Medical Arts Bldg. Anderson IN 46016-4388 | |
| (765) 286-7000 | |
| (765) 213-2769 |
| Full Name | Open Door Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2101 Jackson St, Anderson, Indiana |
| Authorized Official Name and Position | Toni R Estep (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7652814257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Health Services, Inc. Po Box 1676 Muncie IN 47308-1676 Ph: (765) 281-4257 | Open Door Health Services, Inc. 2101 Jackson St Suite 8, Medical Arts Bldg. Anderson IN 46016-4388 Ph: (765) 286-7000 |
| NPI Number | 1508811910 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 05/11/2016 |
| Medicare PECOS PAC ID | 5890696603 |
|---|---|
| Medicare Enrollment ID | O20100818000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508811910 | NPI | - | NPPES |
| 200167970E | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Hospitals Of Indiana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Medical Arts Blvd, Suite 100, Anderson, IN 46011 Phone: 765-298-5700 Fax: 765-298-4913 | |
Five J Woodall Medical Director Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 299 E 360 N, Anderson, IN 46012 Phone: 765-642-8446 Fax: 765-642-7934 | |
Bridges Campbell & Woodall Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 S Madison Ave, Anderson, IN 46016 Phone: 765-644-3673 Fax: 765-644-3680 | |
Craig Groninger Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 Charles St, Anderson, IN 46013 Phone: 765-642-1851 Fax: 765-642-3756 | |
United Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 W 38th St, Anderson, IN 46013 Phone: 765-400-0380 Fax: 765-400-0381 | |
Premise Health Of Indiana Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Dan Patch Cir, Anderson, IN 46013 Phone: 765-609-4711 Fax: 765-609-4713 | |
Community Hospitals Of Indiana, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3029 E 41st St, Anderson, IN 46013 Phone: 317-621-1230 |