Organization
INTEGRATIVE HEALTH SPECIALIST OF INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM GRIDER BUSINESS OFFICE (BUSINESS ADMINISTRATOR)
(317) 781-3604
Entity
Organization
Contact information
Practice address
9333 N MERIDIAN ST, STE 202, INDIANAPOLIS, IN 46260-1872
(317) 580-9333
(317) 818-8933
Mailing address
9333 N MERIDIAN ST, STE 202, INDIANAPOLIS, IN 46260-1872
(317) 580-9333
(317) 818-8933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000243460
ANTHEM
IN
01
—
1558331652
INDIVIDUAL NPI
IN
01
—
1619947710
INDIVIDUAL NPI
IN
01
—
1629048715
INDIVIDUAL NPI
IN
Enumeration date
05/22/2006
Last updated
06/25/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us