Open Door Health Services, Inc.

LBN: Open Door Health Services, Inc.
Open Door Health Services, Inc. is an health care organization with primary practice located at 2600 W White River Blvd , Muncie IN 47303-5263. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Open Door Health Services, Inc. can be contacted via phone (765) 286-7000, or through Ayars, Bryan via phone (765) 747-2971.

Contact Information

Primary practice address
2600 W White River Blvd Muncie IN 47303-5263
Phone: (765) 286-7000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ayars, Bryan
Phone: (765) 747-2971

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1104133511
LBN Legal business name Open Door Health Services, Inc.
DBA Doing business as
Authorized official Ayars, Bryan
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 7th, 2010
Last updated Nov 30th, 2020 - about 4 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 1104133511 NPPES
Indiana MEDICAID 200167970

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