Organization
PROVIDENCE MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUFUNKE LOUISE BRIMMO-LONGE (OWNER)
(716) 686-2104
Entity
Organization
Contact information
Practice address
1935 N CAPITOL AVE STE 107, INDIANAPOLIS, IN 46202-6403
(716) 686-2104
Mailing address
4000 W 106TH ST STE 125-207, CARMEL, IN 46032-7720
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
10/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us