Organization
NORTH CENTRAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R WALLING (PRESIDENT CEO)
(765) 423-1604
Entity
Organization
Contact information
Practice address
2400 SOUTH ST, LAFAYETTE, IN 47904-3027
(765) 423-1604
Mailing address
201 MAIN ST, SUITE 606, LAFAYETTE, IN 47901-1277
(765) 423-1604
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IN
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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