Central Indiana Medical Group
LBN: Grand Old Docs Of The Southside
Central Indiana Medical Group is an health care organization with primary practice located at 134 N Emerson Ave , Greenwood IN 46143-9760. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Grand Old Docs Of The Southside can be contacted via phone (317) 882-7344, or through Duggan, Donald E via phone (317) 882-7344.
Contact Information
Primary practice address
134 N Emerson Ave
Greenwood IN 46143-9760
Phone: (317) 882-7344
Fax: (317) 882-4793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1942396890 |
|---|---|
| LBN Legal business name | Grand Old Docs Of The Southside |
| DBA Doing business as | Central Indiana Medical Group |
| Authorized official | Duggan, Donald E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 10th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942396890 | NPPES |
| Indiana | Other | CI4722 | GROUP RR MEDICARE NUMBER |
| Indiana | Other | 5457630004 | GROUP RR MEDICARE NUMBER |
Popular Providers
-
Community Hospitals Of Indiana
1664 W Smith Valley Rd Suite B, Greenwood IN 46142-1550 -
Community Hospitals Of Indiana Inc
549 E County Line Road Suite A, Greenwood IN 46143-1068 -
St. Francis Hospital & Health Centers
362 Meridian Parke Ln , Greenwood IN 46142-9425 -
Community Hospitals Of Indiana Inc
1680 Stonegate Dr , Greenwood IN 46142-5013 -
Community Hospitals Of Indiana Inc
360 S Madison Ave Suite 100, Greenwood IN 46142-3117 -
Specialty Physicians Of Illinois, Llc
1040 Sierra Dr Ste 400 , Greenwood IN 46143-7241 -
Grand Ole Docs Of The Southside, Llc
365 E Main St , Greenwood IN 46143-1361 -
Grand Old Docs Of The Southside
360 S Madison Ave #200, Greenwood IN 46142-3150