# NORTH CENTRAL HEALTH SERVICES INC.

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

## Provider details

- **NPI number:** 1720108574
- **Authorized official:** MR. JOHN R WALLING (PRESIDENT CEO)
- **Authorized official phone:** (765) 423-1604

## Contact information

- **Practice address:** 2400 SOUTH ST, LAFAYETTE, IN 47904-3027
- **Practice address phone:** (765) 423-1604
- **Mailing address:** 201 MAIN ST, SUITE 606, LAFAYETTE, IN 47901-1277
- **Mailing address phone:** (765) 423-1604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | IN | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/22/2020
