Organization
INDIANA HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN STANTON (MEMBER)
(317) 259-4616
Entity
Organization
Contact information
Practice address
7411 N KEYSTONE AVE, SUITE B, INDIANAPOLIS, IN 46240-3374
(317) 259-4616
Mailing address
2809 TOWNE DR, CARMEL, IN 46032-9751
(317) 730-0525
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
11/12/2013
Last updated
02/27/2014
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