Organization
OURHEALTH PHYSICIAN GROUP, LLC
Active
Parent organization
OURHEALTH PHYSICIAN GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OURHEALTH PHYSICIAN GROUP, LLC
Authorized official
JARED DAVID JACKSON (EMR CLINICAL ANALYST)
(317) 294-9682
Entity
Organization
Contact information
Practice address
3308 N MITTHOEFER RD, INDIANAPOLIS, IN 46235-2332
(317) 559-2185
Mailing address
4151 E 96TH ST, INDIANAPOLIS, IN 46240-1442
(317) 294-9682
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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