Northridge Medical Group
LBN: St Clare Health Network
Northridge Medical Group is an health care organization with primary practice located at 1704 Lafayette Rd , Crawfordsville IN 47933-1071. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
St Clare Health Network can be contacted via phone (765) 364-1252, or through Siemers, Jim via phone (765) 362-2800.
Contact Information
Primary practice address
1704 Lafayette Rd
Crawfordsville IN 47933-1071
Phone: (765) 364-1252
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1801961255 |
|---|---|
| LBN Legal business name | St Clare Health Network |
| DBA Doing business as | Northridge Medical Group |
| Authorized official | Siemers, Jim |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 24th, 2008 - about 16 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 | 1801961255 | NPPES |
| Indiana | MEDICAID | 100389570A |
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