Organization Active NPI

American Health Institute, Inc.

Doing business as International Community Clinic

  • Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1821390709
Registry record updated Nov 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
01057350A Issued in IN
Legal business name
AMERICAN HEALTH INSTITUTE, INC.
Doing business as
International Community Clinic
Practice address
3737 N Meridian St
Suite 404
Indianapolis, IN 46208-4348
Phone
(317) 602-3558
Fax
(317) 927-9779
NPI assigned
Nov 25, 2010
Last updated
Nov 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2010

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

Authorized official

Name
Dr. Eromonsele O. Idahosa, M.D
Title
Medical Director
Phone
(317) 602-3558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 01057350A IN Primary

Addresses

Primary practice location

3737 N Meridian St
Suite 404
Indianapolis, IN 46208-4348

Mailing address

3737 N Meridian St
Suite 404
Indianapolis, IN 46208-4348
Phone (317) 602-3558

Other names 1

  • International Community Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3737 N Meridian St
Ste 404
Indianapolis, IN 46208
Phone (317) 602-3558

NPI Registry JSON

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

{
    "created_epoch": "1290643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290643200000",
    "number": "1821390709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST",
            "address_2": "SUITE 404",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084348",
            "telephone_number": "317-602-3558",
            "fax_number": "317-927-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N MERIDIAN ST",
            "address_2": "SUITE 404",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084348",
            "telephone_number": "317-602-3558",
            "fax_number": "317-927-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-25",
        "last_updated": "2010-11-25",
        "status": "A",
        "authorized_official_last_name": "IDAHOSA",
        "authorized_official_first_name": "EROMONSELE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "317-602-3558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "01057350A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 25, 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.