State of Indiana
State of Indiana is a Clinic/Center in Knightstown, Indiana. Licensed in Indiana. Registered with an NPI since 2008.
- Licensed in
- IN
- In the registry since
- 2008
Practice location Address checks out
10892 N State Road 140Knightstown, IN 46148-9769
Phone: (765) 345-5141
Fax: (765) 345-7412
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence STATE OWNED FACILITY (IN) |
|---|
Record details
| NPI number | 1982873717 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Allen Collier — Assistant Superintendent · (765) 345-5141 |
| NPI enumerated | February 26, 2008 |
| Last updated in NPPES | June 19, 2008 |
| Mailing address | 10892 N State Road 140, Knightstown, IN 46148-9769 |