| NPI | 1093194805 |
|---|---|
| Doing Business As | LOCAL 440 CLINIC |
| Entity Type | Organization |
| Authorized Contact | KARLA SPIVEY Central Support Specialist 317-869-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2024-06-27 |