Organization
RICHARD L. ROUDEBUSH VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE MADOU MSW (SOCIAL WORKER)
(317) 988-2623
Entity
Organization
Contact information
Practice address
3602 E MICHIGAN ST, INDIANAPOLIS, IN 46201-3466
(317) 988-2623
Mailing address
12306 BLUE SPRINGS LN, FISHERS, IN 46037-4053
(317) 576-9867
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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