Organization
OPEN DOOR HEALTH SERVICES
Active
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
Update your record
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