Organization
JETTY HEART CLINIC OF THE INDIANA HEART HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A MALASTO (CEO)
(317) 621-8050
Entity
Organization
Contact information
Practice address
1210 MEDICAL ARTS BLVD, SUITE 217, ANDERSON, IN 46011-3439
(765) 298-4422
(765) 298-4926
Mailing address
1210 MEDICAL ARTS BLVD, SUITE 217, ANDERSON, IN 46011-3439
(765) 298-4422
(765) 298-4926
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01040154A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000586511
ANTHEM
IN
Enumeration date
09/04/2008
Last updated
10/21/2008
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