Indiana Medical Associates, Llc

LBN: Indiana Medical Associates, Llc
Indiana Medical Associates, Llc is an health care organization with primary practice located at 7900 W Jefferson Blvd Suite 201, Fort Wayne IN 46804-4128. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Indiana Medical Associates, Llc can be contacted via phone (260) 969-7100, or through Teska, Lowell via phone (260) 969-7100.

Contact Information

Primary practice address
7900 W Jefferson Blvd Suite 201 Fort Wayne IN 46804-4128
Phone: (260) 969-7100
Fax: (260) 969-7101
Website:
Map and Directions
Authorized official contact:
Name: Teska, Lowell
Phone: (260) 969-7100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1780628545
LBN Legal business name Indiana Medical Associates, Llc
DBA Doing business as
Authorized official Teska, Lowell
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 5th, 2010 - about 14 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 1780628545 NPPES
Ohio MEDICAID 2042720
Ohio MEDICAID 200190390
Ohio MEDICAID 200250290

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