Organization
OPEN DOOR HEALTH SERVICES, INC.
Active
Other names
Open Door Family Planning
Organization subpart
No
Provider details
NPI number
Authorized official
TONI R ESTEP (CHIEF EXECUTIVE OFFICER)
(765) 747-2971
Entity
Organization
Contact information
Practice address
2525 E 10TH ST, ANDERSON, IN 46012-4409
(765) 641-1185
Mailing address
PO BOX 1676, MUNCIE, IN 47308-1676
(765) 286-7000
(765) 213-2769
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200167970B
—
IN
Enumeration date
03/06/2007
Last updated
01/31/2012
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