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Organization

WISHARD HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA KNIPE (PRODUCT LINE MANAGER)
(317) 630-6872
Entity
Organization

Contact information

Practice address
1002 W. 10TH STREET, INDIANAPOLIS, IN 46202
(317) 639-6671
Mailing address
7630 BRIARSTONE LN, INDIANAPOLIS, IN 46227-5450

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
71000706A
IN

Other

Enumeration date
10/26/2006
Last updated
08/22/2020
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