# HEALTH1ST OF INDY SOUTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTH1ST OF GREENFIELD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023253861
- **Legal business name:** HEALTH1ST OF GREENFIELD
- **Authorized official:** TERRY J TOLLE (PRESIDENT)
- **Authorized official phone:** (317) 683-1970

## Contact information

- **Practice address:** 4625 S EMERSON AVE, INDIANAPOLIS, IN 46203-5972
- **Practice address phone:** (317) 522-2303
- **Practice address fax:** (317) 522-2304
- **Mailing address:** 1420 SADLIER CIRCLE E DRIVE, INDIANAPOLIS, IN 46239-0000
- **Mailing address phone:** (317) 683-1970
- **Mailing address fax:** (317) 683-1989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2008
- **Last updated:** 01/14/2011