Organization
ASSURANCE HEALTH, LLC
Active
Parent organization
ASSURANCE HEALTH SYSTEM LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSURANCE HEALTH SYSTEM LLC
Authorized official
KYLE D SMALL (CEO)
(317) 870-1396
Entity
Organization
Contact information
Practice address
2725 ENTERPRISE DR, ANDERSON, IN 46013-9670
(765) 374-6044
(765) 374-6043
Mailing address
8465 KEYSTONE XING, SUITE 210, INDIANAPOLIS, IN 46240-4355
(317) 870-1396
(317) 757-8491
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
1699-1-PIP
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699-1-PIP
STATE OF INDIANA
IN
05
—
201292260A
—
IN
Enumeration date
08/18/2014
Last updated
02/02/2016
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