Organization
SOUTHSIDE EMERGENCY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY SMITH M.D. (PRESIDENT)
(317) 887-7000
Entity
Organization
Contact information
Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 887-7000
(260) 407-8014
Mailing address
7100 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
(866) 516-2307
(260) 407-8014
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
08/22/2020
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