# QUALIFIED HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1700489390
- **Authorized official:** DEBORAH MCGLASSON FNP-BC (PRESIDENT)
- **Authorized official phone:** (317) 426-2210

## Contact information

- **Practice address:** 5555 N TACOMA AVE STE 104, INDIANAPOLIS, IN 46220-3551
- **Practice address phone:** (317) 426-2210
- **Practice address fax:** (317) 779-2560
- **Mailing address:** 5555 N TACOMA AVE STE 104, INDIANAPOLIS, IN 46220-3551
- **Mailing address phone:** (317) 426-2210
- **Mailing address fax:** (317) 779-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2020
- **Last updated:** 11/17/2020