Organization
WISHARD HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA KNIPE (PRODUCT LINE MANAGER)
(317) 630-6872
Entity
Organization
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(316) 639-6671
Mailing address
5302 EVANSTON AVE, INDIANAPOLIS, IN 46220-3445
(317) 255-5685
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
28089838A
IN
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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