Family Serviceof Central Indiana, Inc.
Organization Active NPI Voluntary or Charitable Agency · Martinsville, IN
NPI 1124177340 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124177340
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Voluntary or Charitable Agency 251V00000X
- Legal business name
- FAMILY SERVICEOF CENTRAL INDIANA, INC.
- Practice address
- 465 S Main St
Suite 106
Martinsville, IN 46151-2162 - Phone
- (765) 342-0202
- Fax
- (765) 342-2761
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Edie Olson
- Title
- President
- Phone
- (317) 634-6341
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Family Service of Central Indiana Inc
Locations
465 S Main St
Ste 106
Martinsville, IN 46151
Phone (765) 342-0202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Yes |
Addresses
Primary practice location
465 S Main St
Suite 106
Martinsville, IN 46151-2162
Mailing address
615 North Alabama Street
Suite 320
Indianapolis, IN 46204-1481
Phone (317) 634-6341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100264520 | Medicaid | IN |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.