Indianapolis Treatment Center, Llc, NPI 1275686123
Methadone Clinic in Indianapolis, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1275686123
NPI Entity Type Organization
Provider Name Indianapolis Treatment Center, Llc
Subpart of Organization Acadia Healthcare Company, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2626 E 46th Street, Ste. J, Indianapolis, IN, US
Provider Mailing Address 6183 Paseo Del Norte, Ste 200, Carlsbad, CA, US, 920111155
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Kim Sanderson
Official Position PRESIDENT, CTC DIVISON
Phone 855-259-2288

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

261QM2800X

Taxonomy Name Methadone Clinic
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. 1228-0-ASR
License State IN
Description An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Business Address

Indianapolis Treatment Center, Llc
2626 E 46th Street
Ste. J

Indianapolis, IN, US

Phone: 317-475-9066
Fax: 317-257-3602

Mailing Address

Indianapolis Treatment Center, Llc
6183 Paseo Del Norte
Ste 200
Carlsbad, CA, US
ZIP 920111155

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
300008529 IN MEDICAID 05
201359690A IN MEDICAID 05

Other Providers in IN, US

NPI Name Taxonomy Address

1528516226

Nicole M Blauvelt

Individual

Nurse Practitioner

11109 Parkview Plaza Dr

Fort Wayne, IN

1942597141

PA-C Kristin E Pletcher

Individual

Physician Assistant

3909 New Vision Dr

Fort Wayne, IN

1184686743

DR. MD David J Wittbrodt

Individual

Orthopaedic Surgery Physician

1169 N Main St Ste 7

Bluffton, IN

1366604480

D.O. Ellen Szwed

Individual

Hematology & Oncology Physician

11050 Parkview Circle Dr

Fort Wayne, IN

1952025025

MS. Andrea Jo Lynne Adams

Individual

Mental Health Counselor

4444 Jamestown Ct Apt F

Indianapolis, IN

1285098400

Melissa Lucio

Individual

Family Nurse Practitioner

3512 Stellhorn Rd

Fort Wayne, IN

1588016174

FNP-C Colleen Conwell

Individual

Family Nurse Practitioner

3909 New Vision Dr

Fort Wayne, IN

1326030297

MD David E Schleinkofer

Individual

Cardiovascular Disease Physician

11108 Parkview Circle Dr

Fort Wayne, IN

1033561139

Nicole Heller

Individual

Nurse Practitioner

11104 Parkview Circle Dr Ste 20

Fort Wayne, IN

1114189305

DR. M.D., Ahmed Zakria Youssef Elmaadawi

Individual

Psychiatry Physician

707 N Michigan St Ste 400

South Bend, IN

1013307131

Kara Yackee

Individual

Nurse Practitioner

3909 New Vision Dr

Fort Wayne, IN

1275608929

DR. MD Steven W Cohen

Individual

Gastroenterology Physician

11104 Parkview Circle Dr Ste 310

Fort Wayne, IN

1689833279

MD Julie A Tillman

Individual

Obstetrics & Gynecology Physician

11123 Parkview Plaza Dr

Suite 101

Fort Wayne, IN

1790857423

DR. M.D. Rebecca E Minser

Individual

Internal Medicine Physician

1234 E Dupont Rd Ste 3

Fort Wayne, IN

1427400886

Jennifer Vanzant

Individual

Nurse Practitioner

2200 Randallia Dr

Fort Wayne, IN

1083820286

DR. M.D. Dona M Uncheselu

Individual

Hospice and Palliative Medicine (Family Medicine) Physician

11109 Parkview Plaza Dr

Fort Wayne, IN

1033367123

MD Amy K Sadler

Individual

Family Medicine Physician

1270 E S.r. 205, Suite 240

Columbia City, IN

1629070032

MD Kevin K Hart

Individual

Cardiovascular Disease Physician

11108 Parkview Circle Dr

Fort Wayne, IN

1245687284

MD Megan C. Lemon

Individual

Family Medicine Physician

11055 Twin Creeks Cv

Fort Wayne, IN

1922582188

Kelcie Marie Small

Individual

Developmental Therapist

6437 Rucker Rd Ste D

Indianapolis, IN

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