Organization
OPEN DOOR HEALTH SERVICES, INC.
Active
Organization
OPEN DOOR HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI R ESTEP (CHIEF EXECUTIVE OFFICER)
(765) 281-4257
Entity
Organization
Contact information
Practice address
2101 JACKSON ST, SUITE 8, MEDICAL ARTS BLDG., ANDERSON, IN 46016-4388
(765) 286-7000
(765) 213-2769
Mailing address
PO BOX 1676, MUNCIE, IN 47308-1676
(765) 281-4257
(765) 213-2769
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200167970E
—
IN
Enumeration date
05/23/2006
Last updated
05/11/2016
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