# CARECONNECTMD MEDICAL GROUP INDIANA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528666922
- **Authorized official:** DR. GEORGE EDWARD FIELDS III DO (OWNER)
- **Authorized official phone:** (714) 552-4123

## Contact information

- **Practice address:** 9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
- **Practice address phone:** (657) 202-5944
- **Mailing address:** 16162 BEACH BLVD STE 100, HUNTINGTON BEACH, CA 92647-3828
- **Mailing address phone:** (888) 789-9585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2020
- **Last updated:** 10/16/2020