Providence Medical Associates Llc
LBN: Providence Medical Associates Llc
Providence Medical Associates Llc is an health care organization with primary practice located at 1935 N Capitol Ave Ste 107 , Indianapolis IN 46202-6403. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
Providence Medical Associates Llc can be contacted via phone (716) 686-2104, or through Brimmo-Longe, Olufunke Louise via phone (716) 686-2104.
Contact Information
Primary practice address
1935 N Capitol Ave Ste 107
Indianapolis IN 46202-6403
Phone: (716) 686-2104
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X |
Profile Details
NPI number | 1326654070 |
---|---|
LBN Legal business name | Providence Medical Associates Llc |
DBA Doing business as | |
Authorized official | Brimmo-Longe, Olufunke Louise |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 18th, 2020 |
Last updated | Oct 22nd, 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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