Iimc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

IIMC

Practice address

5940 Furnas Rd
Indianapolis, IN 46221-4002

Phone

(317) 809-3755

NPI assigned

Mar 23, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacquiline Greenwald

Title

RN

Phone

(317) 809-3755

Specialties & licenses 1

Addresses

Tax ID family

Kaiser Permanente Panorama City Medical Center119 organizations share this tax ID, including this one

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1013301530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 FURNAS RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462214002",
            "telephone_number": "317-809-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 FURNAS RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462214002",
            "telephone_number": "317-809-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IIMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "GREENWALD",
        "authorized_official_first_name": "JACQUILINE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "317-809-3755"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Case Management Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.