Organization
OPEN DOOR HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN AYARS (CHIEF EXECUTIVE OFFICER)
(765) 281-4257
Entity
Organization
Contact information
Practice address
333 S MADISON ST, MUNCIE, IN 47305-2465
(765) 286-7000
(765) 213-2769
Mailing address
PO BOX 1676, MUNCIE, IN 47308-1676
(765) 281-4257
(765) 213-2769
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200167970
—
IN
Enumeration date
05/24/2006
Last updated
02/27/2020
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