Southway Urgent Center

LBN: Open Door Health Services, Inc.
Southway Urgent Center is an health care organization with primary practice located at 1651 E 29Th St , Muncie IN 47302-5886. 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 Estep, Toni R via phone (765) 281-4257.

Contact Information

Primary practice address
1651 E 29Th St Muncie IN 47302-5886
Phone: (765) 286-7000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Estep, Toni R
Phone: (765) 281-4257

Health care specialties

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

Profile Details

NPI number 1770510240
LBN Legal business name Open Door Health Services, Inc.
DBA Doing business as Southway Urgent Center
Authorized official Estep, Toni R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2006
Last updated May 8th, 2019 - about 5 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 1770510240 NPPES
Indiana MEDICAID 200167970F

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