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Organization
HEALTH1ST OF INDY SOUTH
Active
Organization
HEALTH1ST OF INDY SOUTH
Active
Parent organization
HEALTH1ST OF GREENFIELD
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH1ST OF GREENFIELD
Authorized official
TERRY J TOLLE (PRESIDENT)
(317) 683-1970
Entity
Organization
Contact information
Practice address
4625 S EMERSON AVE, INDIANAPOLIS, IN 46203-5972
(317) 522-2303
(317) 522-2304
Mailing address
1420 SADLIER CIRCLE E DRIVE, INDIANAPOLIS, IN 46239-0000
(317) 683-1970
(317) 683-1989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/09/2008
Last updated
01/14/2011
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