Organization Active NPI

Indiana Clinic

  • General Acute Care Hospital
  • Indianapolis, IN
National Provider Identifier
1285946442
Registry record updated Jul 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
33004402A Issued in IN
Legal business name
INDIANA CLINIC
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 962-3344
NPI assigned
Jul 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2010

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

Authorized official

Name
Ms. Donna Lynn Collins, MSW, LSW
Title
Social Worker
Phone
(317) 507-9933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 33004402A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

3724 Salem St
Indianapolis, IN 46208-4302
Phone (317) 507-9933

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278288000000",
    "number": "1285946442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 SALEM ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084302",
            "telephone_number": "317-507-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-05",
        "last_updated": "2010-07-05",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "317-507-9933",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "33004402A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.