Organization
ASPIRE INDIANA HEALTH INC.
Active
Organization
ASPIRE INDIANA HEALTH INC.
Active
Other names
Aspire Indiana Health - Madison-Grant
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D CROCKETT (CHIEF FINANCIAL OFFICER)
(317) 587-0505
Entity
Organization
Contact information
Practice address
11640 S E 00 W, FAIRMOUNT, IN 46928-9318
(317) 574-1254
(317) 674-0060
Mailing address
9615 E 148TH ST STE 1, NOBLESVILLE, IN 46060-4371
(317) 574-1254
(317) 674-0060
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
11/03/2023
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