NPIMap

Organization Active NPI

Open Door Health Services

  • Federally Qualified Health Center (FQHC)
  • Marion, IN
National Provider Identifier
1376865733
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OPEN DOOR HEALTH SERVICES
Practice address
319 E 2ND St
Marion, IN 46952-3871
Phone
(765) 574-4971
Fax
(765) 573-4973
NPI assigned
Feb 25, 2010
Last updated
Jan 31, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
OPEN DOOR HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Toni R Estep
Title
Ceo
Phone
(765) 747-2971

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

319 E 2ND St
Marion, IN 46952-3871

Mailing address

PO Box 1676
Muncie, IN 47308-1676
Phone (765) 286-7000

Other identifiers 1

IdentifierTypeStateIssuer
200167970GMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Open Door Health Services9 organizations share this tax ID, including this one
Part of
Open Door Health Services

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

319 E 2nd St
Marion, IN 46952
Phone (765) 574-4971

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1376865733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1676",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473081676",
            "telephone_number": "765-286-7000",
            "fax_number": "765-213-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E 2ND ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523871",
            "telephone_number": "765-574-4971",
            "fax_number": "765-573-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPEN DOOR HEALTH SERVICES",
        "enumeration_date": "2010-02-25",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "ESTEP",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-747-2971"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200167970G",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.