ACTIVATE HEALTHCARE - LOCAL 440 CLINIC (NPI# 1093194805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093194805 |
| Entity Type | Organization |
| Organization Name | ACTIVATE HEALTHCARE - LOCAL 440 CLINIC |
| Practice Address |
5550 S East St Bldg. B, Ste. B Indianapolis IN 46227-1979 |
| Mailing Address |
2010 N Damen Ave Suite F Chicago IL 60647-3284 |
| Practice Telephone | 3178795206 |
| Practice Fax Number | 3178795262 |
| Mailing Telephone | 7736973144 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2018-11-07 |
| Authorized Official Name | DEBRA GEIHSLER (PRINCIPAL) |
| Authorized Official Telephone | 7736973144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
5550 S EAST ST BLDG. B, STE. B |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-1979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375335 | Jane Ellen Wilson | Pediatrics | 5550 S East St, Ste.i, Indianapolis, IN 46227-1979 | 2005-06-09 |
| 1881061059 | Windrose Health Network, Inc. | Clinic/Center | 5550 S East St, Indianapolis, IN 46227-1979 | 2015-08-24 |
| 1184063331 | Ryan Keith Alexander | Family Medicine | 5550 S East St, Suite I, Indianapolis, IN 46227-1979 | 2013-06-20 |
| 1922446129 | Indianapolis Dental Care LLC | Dentist | 5550 S East St, Building B, Suite A, Indianapolis, IN 46227-1979 | 2013-06-10 |
| 1922367309 | Matthew Walter Wolenski | Family Medicine | 5550 S East St, Suite I, Indianapolis, IN 46227-1979 | 2012-05-07 |
| 1316218571 | Nathanial R Chumley | Family Medicine | 5550 S East St, Ste I, Indianapolis, IN 46227-1991 | 2012-01-19 |
| 1861660086 | World Harvest Dental, Inc. | Dentist | 5550 S East St, Suite A, Indianapolis, IN 46227-1979 | 2008-02-11 |
| 1700988847 | Christopher S Leonard | Dentist | 5550 S East St, Ste A, Indianapolis, IN 46227 | 2006-09-01 |
| 1225046089 | Blaine Y Takesue | Emergency Medicine | 5550 S East St, Ste I, Indianapolis, IN 46227-1991 | 2006-08-04 |
| 1952319113 | Vistacare Usa, LLC | Hospice Care, Community Based | 5550 S East St, Suite A, Indianapolis, IN 46227-1979 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1033777370 | Prime Movement Healthcare | Clinic/Center | 55 Monument Cir Fl 7, Indianapolis, IN 46204-2910 | 2019-06-02 |
| 1720646235 | Pmr Healthcare | Clinic/Center | 6404 Turner Dr Ste 100, Indianapolis, IN 46241-4906 | 2019-05-30 |
| 1598231896 | Ourhealth Physician Group, LLC | Clinic/Center | 3308 N Mitthoefer Rd, Indianapolis, IN 46235-2332 | 2018-10-15 |
| 1548743552 | Wellness for Life | Clinic/Center | 6448 W Ohio St, Indianapolis, IN 46214-3973 | 2018-09-14 |
| 1467970269 | Activate Healthcare - Mep Clinic | Clinic/Center | 2350 N Shadeland Ave, Indianapolis, IN 46219-1736 | 2017-09-01 |
| 1386190254 | Ourhealth Physicians Group, LLC | Clinic/Center | 5630 W 86th St, Suite 150, Indianapolis, IN 46278-2017 | 2016-08-30 |
| 1366995482 | Ourhealth Physicians Group, LLC | Clinic/Center | 4161 E 96th St, Suite 100, Indianapolis, IN 46240-1442 | 2016-07-25 |
| 1508319625 | Ourhealth Physicians Group, LLC | Clinic/Center | 155 W Washington St, Suite 155, Indianapolis, IN 46204-3483 | 2016-07-25 |
| 1154774412 | American Health Network of Indiana LLC | Clinic/Center | 2432 Southeastern Ave, Indianapolis, IN 46201-4161 | 2016-07-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on ACTIVATE HEALTHCARE - LOCAL 440 CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.