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Organization

ASPIRE INDIANA HEALTH INC.

Active
Other names
ASPIRE INDIANA HEALTH-BOONE COUNTY
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY D CROCKETT (CFO)
(317) 587-0505
Entity
Organization

Contact information

Practice address
1600 W MAIN ST, LEBANON, IN 46052-2388
(317) 574-1254
(317) 674-0060
Mailing address
697 PRO MED LN, CARMEL, IN 46032-5323
(317) 574-1254
(317) 674-0060

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
151014
MEDICARE
IN
05
300010986
IN
Enumeration date
02/01/2018
Last updated
05/11/2026
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