Center Grove Foot & Ankle Care, P.C.

LBN: Center Grove Foot & Ankle Care, P.C.
Center Grove Foot & Ankle Care, P.C. is an health care organization with primary practice located at 362 Meridian Parke Ln Ste B , Greenwood IN 46142-9425. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Center Grove Foot & Ankle Care, P.C. can be contacted via phone (317) 859-2905, or through Runkle, Mark H. via phone (317) 859-2905.

Contact Information

Primary practice address
362 Meridian Parke Ln Ste B Greenwood IN 46142-9425
Fax:
Website:
Authorized official contact:
Name: Runkle, Mark H. Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X 07000797 Indiana

Profile Details

NPI number 1073793816
LBN Legal business name Center Grove Foot & Ankle Care, P.C.
DBA Doing business as
Authorized official Runkle, Mark H. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2007
Last updated Dec 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073793816 NPPES
Indiana MEDICAID 200035220
Indiana Other 480033210

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