Organization
OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC
Active
Other names
Bendix Health Center - Huntington
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MICHAEL WELLS (CEO)
(317) 522-0823
Entity
Organization
Contact information
Practice address
1850 RIVERFORK DR, C/O BENDIX HEALTH CENTER, HUNTINGTON, IN 46750-9004
(260) 200-1310
Mailing address
10 W MARKET ST STE 2900, INDIANAPOLIS, IN 46204-2964
(866) 434-3255
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
—
—
363LF0000X
Family Nurse Practitioner
Primary
71004183A
IN
Other
Enumeration date
09/04/2013
Last updated
11/16/2023
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