Organization · Type 2 NPI
Providence Medical Associates LLC
Medical Specialty Clinic/Center · Indianapolis, IN
Practice location
1935 N Capitol Ave Ste 107
Indianapolis, IN 46202-6403
Mailing address
4000 W 106th St Ste 125-207
Carmel, IN 46032-7720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1326654070
Providence Medical Associates LLC's National Provider Identifier is 1326654070, issued on Sep 18, 2020. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 22, 2020.