Burgeoning Health Providers, Llc

LBN: Burgeoning Health Providers
Burgeoning Health Providers, Llc is an health care organization with primary practice located at 646 Massachusetts Ave , Indianapolis IN 46204-1607. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Burgeoning Health Providers can be contacted via phone (317) 659-5095, or through Butler, Malinda via phone (317) 659-5905.

Contact Information

Primary practice address
646 Massachusetts Ave Indianapolis IN 46204-1607
Phone: (317) 659-5095
Fax: (317) 350-0043
Website:
Map and Directions
Authorized official contact:
Name: Butler, Malinda NP-BC
Phone: (317) 659-5905

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1972136919
LBN Legal business name Burgeoning Health Providers
DBA Doing business as Burgeoning Health Providers, Llc
Authorized official Butler, Malinda NP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2020
Last updated Sep 11th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972136919 NPPES
Indiana MEDICAID 300021924

Popular Providers