Open Door Health Services, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Muncie, IN. Organization (NPI-2).
NPI number1144974155
StatusActive
Last updated in NPPESFeb 8, 2022
Details
- NPI
- 1144974155
- Entity type
- Organization (NPI-2)
- Legal business name
- Open Door Health Services, INC.
- Organization subpart
- Yes
- Enumeration date
- Feb 8, 2022
- Certification date
- Jan 28, 2022
- Last updated
- Feb 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Open Door School-Based Health (Doing Business As)
Practice location
801 N Walnut StMuncie, IN 47305-1458
Phone 765-286-7000
Mailing address
333 S Madison StMuncie, IN 47305-2465
Authorized official
Marie Burkey
Vp-Compliance/Risk
7652867000
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