Organization
OPEN DOOR HEALTH SERVICES, INC.
Active
Parent organization
OPEN DOOR HEALTH SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPEN DOOR HEALTH SERVICES, INC.
Authorized official
MR. BRYAN AYARS (CHIEF EXECUTIVE OFFICER)
(765) 747-2971
Entity
Organization
Contact information
Practice address
2600 W WHITE RIVER BLVD, MUNCIE, IN 47303-5263
(765) 286-7000
Mailing address
PO BOX 1676, MUNCIE, IN 47308-1676
(765) 286-7000
(765) 213-2769
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200167970
—
IN
Enumeration date
09/07/2010
Last updated
11/30/2020
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