Indianapolis Treatment Center, Llc

LBN: Indianapolis Treatment Center, Llc
Indianapolis Treatment Center, Llc is an health care organization with primary practice located at 2626 E 46Th Street Ste. J, Indianapolis IN 46205-2380. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Indianapolis Treatment Center, Llc can be contacted via phone (317) 475-9066, or through Farley, Brian Phillip via phone (615) 861-6000.

Contact Information

Primary practice address
2626 E 46Th Street Ste. J Indianapolis IN 46205-2380
Fax: (317) 257-3602
Website:
Authorized official contact:
Name: Farley, Brian Phillip

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 1228-0-ASR Indiana
Ambulatory Health Care Facilities / Methadone 261QM2800X 1228-0-ASR Indiana
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 1228-0-ASR Indiana

Profile Details

NPI number 1275686123
LBN Legal business name Indianapolis Treatment Center, Llc
DBA Doing business as
Authorized official Farley, Brian Phillip
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Aug 23rd, 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 1275686123 NPPES
Indiana MEDICAID 300008529
Indiana MEDICAID 201359690A

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