Innervision West

LBN: Greater Lafayette Health Services
Innervision West is an health care organization with primary practice located at 3482 Mcclure Ave , West Lafayette IN 47906. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Greater Lafayette Health Services can be contacted via phone (765) 447-7447, or through Wilson, Terrance E via phone (765) 423-6161.

Contact Information

Primary practice address
3482 Mcclure Ave West Lafayette IN 47906
Phone: (765) 447-7447
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Terrance E
Phone: (765) 423-6161

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X Indiana

Profile Details

NPI number 1255529335
LBN Legal business name Greater Lafayette Health Services
DBA Doing business as Innervision West
Authorized official Wilson, Terrance E
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2007
Last updated Nov 27th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255529335 NPPES
Indiana Other 000000311919 ANTHEM

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