Organization
OPEN DOOR HEALTH SERVICES
Active
Parent organization
OPEN DOOR HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPEN DOOR HEALTH SERVICES
Authorized official
TONI R ESTEP (CEO)
(765) 747-2971
Entity
Organization
Contact information
Practice address
319 E 2ND ST, MARION, IN 46952-3871
(765) 574-4971
(765) 573-4973
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
—
200167970G
—
IN
Enumeration date
02/25/2010
Last updated
01/31/2012
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