Great Provider Health Services
Great Provider Health Services is a Primary Care Clinic/Center in Indianapolis, Indiana. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
4267 Lafayette RdIndianapolis, IN 46254-2409
Phone: (317) 205-9710
Fax: (317) 205-9711
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1518394402 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Doris Nartey — Chief Executive Officer/Np · (317) 362-9737 |
| NPI enumerated | October 9, 2013 |
| Last updated in NPPES | January 25, 2021 |
| Certification date | January 25, 2021 |
| Mailing address | 662 Jackson St, Brownsburg, IN 46112-1680 |
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