Center For Spine & Sports Rehabilitation Pc

LBN: Center For Spine & Sports Rehabilitation Pc
Center For Spine & Sports Rehabilitation Pc is an health care organization with primary practice located at 3850 Shore Dr Ste 305 , Indianapolis IN 46254-4693. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Center For Spine & Sports Rehabilitation Pc can be contacted via phone (317) 920-3220, or through Green-Mack, Thelma Lynette via phone (317) 920-3220.

Contact Information

Primary practice address
3850 Shore Dr Ste 305 Indianapolis IN 46254-4693
Phone: (317) 920-3220
Fax: (317) 920-3222
Website:
Map and Directions
Authorized official contact:
Name: Green-Mack, Thelma Lynette Doctor of Medicine (MD)
Phone: (317) 920-3220

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01037601B Indiana

Profile Details

NPI number 1346439239
LBN Legal business name Center For Spine & Sports Rehabilitation Pc
DBA Doing business as
Authorized official Green-Mack, Thelma Lynette Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2007
Last updated Feb 22nd, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346439239 NPPES
Indiana Other 10815817 CAQH - COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE
Indiana Other 1346439239 CAQH - COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE
Indiana Other 250010985 CAQH - COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE
Indiana Other 1841358017 CAQH - COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE
Indiana Other 000000092241 CAQH - COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE

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