# RICHARD L. ROUDEBUSH VA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1679687503
- **Authorized official:** MS. NICOLE MADOU MSW (SOCIAL WORKER)
- **Authorized official phone:** (317) 988-2623

## Contact information

- **Practice address:** 3602 E MICHIGAN ST, INDIANAPOLIS, IN 46201-3466
- **Practice address phone:** (317) 988-2623
- **Mailing address:** 12306 BLUE SPRINGS LN, FISHERS, IN 46037-4053
- **Mailing address phone:** (317) 576-9867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 08/22/2020