INDIANA CLINIC (NPI# 1851612774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851612774 |
| Entity Type | Organization |
| Organization Name | INDIANA CLINIC |
| Practice Address |
1701 N Senate Ave Indianapolis IN 46202-5306 |
| Practice Telephone | 3179625148 |
| Practice Fax Number | 3179635424 |
| Mailing Telephone | 3179625148 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | MR. BRAD BENNETT (CLINICAL MANAGER) |
| Authorized Official Telephone | 3179625148 |
| Authorized Official Credential | ACSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730492018 | Indiana Clinic | Psychiatric Unit | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2010-07-15 |
| 1285946442 | Indiana Clinic | General Acute Care Hospital | 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 2010-07-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | INDIANA CLINIC, INC. | 1701 N. Senate Blvd, Indianapolis, IN 46206 |
| Indiana Business Entities | INDIANA CLINIC-UROLOGY, LLC | 340 W 10th St, Ste 6217, Indianapolis, IN 46202 |
| Indiana Business Entities | INDIANA CLINICAL SCHOOLS, INC. | 3761 Venture Dr, Ste 260, Duluth, GA 30096 |
| Street Address |
1701 N SENATE AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533010 | Alexander Mao Yeh | Radiology | 1701 N Senate Ave, Radiation Therapy, Indianapolis, IN 46202-5306 | 2005-07-22 |
| 1962002238 | Brittany Taylor Frees | Nurse Practitioner | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2020-10-27 |
| 1609473081 | Robert Garland Green Jr. | Pharmacist | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2020-10-08 |
| 1174131445 | Lauren Dickerson | Pharmacist | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2020-07-22 |
| 1710506407 | Monika Tilmans | Student in an Organized Health Care Education/Training Program | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2020-04-13 |
| 1790304632 | Patrick Donald Wurster | Student in an Organized Health Care Education/Training Program | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2020-04-10 |
| 1447890074 | Amanda Van Milligan | Counselor | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2020-01-12 |
| 1912543281 | Eric Brassfield | Pharmacist | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2019-11-21 |
| 1255984597 | Lindsay Perius | Physician Assistant | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2019-07-16 |
| 1861057176 | Tiffany Rader | Clinical Nurse Specialist | 1701 N Senate Ave, Indianapolis, IN 46202-5306 | 2019-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497119242 | Iu Health | General Acute Care Hospital | 5707 Brockton Dr Apt 307, Indianapolis, IN 46220-5481 | 2016-04-07 |
| 1902219801 | Michael Daniel Weintraub | General Acute Care Hospital | 545 Barnhill Drive, Emerson Hall 202, Indianapolis, IN 46202-9899 | 2014-06-09 |
| 1073858916 | Lisa Fox | General Acute Care Hospital | 7915 Prairie View Dr, Indianapolis, IN 46256 | 2012-12-04 |
| 1922314079 | St. Francis Hospital | General Acute Care Hospital | 7830 Rosebush Dr, Indianapolis, IN 46237-8440 | 2010-08-27 |
| 1144266024 | Indiana University Health Inc | General Acute Care Hospital | 1701 N Senate, Indianapolis, IN 46202-5306 | 2006-06-21 |
| 1235109778 | Community Hospital South, Inc. | General Acute Care Hospital | 1402 E County Line Road S, Indianapolis, IN 46227-9611 | 2006-01-26 |
| 1225589245 | Franciscan Health Indianapolis | General Acute Care Hospital | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2016-10-14 |
| 1043695067 | Patrick Egan | General Acute Care Hospital | 1130 W Michigan St, Fh204, Indianapolis, IN 46202-5209 | 2015-07-21 |
| 1467836684 | Richard L Roudebush Va Medical Center | General Acute Care Hospital | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2015-07-17 |
| 1568842490 | Eskenazi Health | General Acute Care Hospital | 1001 W 10th St, Indianapolis, IN 46202-2859 | 2015-06-05 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.