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
Phone: (317) 475-9066
Fax: (317) 257-3602
Website:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1275686123 | NPPES |
| Indiana | MEDICAID | 300008529 | |
| Indiana | MEDICAID | 201359690A |
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