OPEN DOOR HEALTH SERVICES, INC. (NPI# 1104133511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104133511 |
| Entity Type | Organization |
| Organization Name | OPEN DOOR HEALTH SERVICES, INC. |
| Practice Address |
215 S Hutchinson Ave Muncie IN 47303 |
| Mailing Address |
Po Box 1676 Muncie IN 47308-1676 |
| Practice Telephone | 7652867000 |
| Mailing Telephone | 7652867000 |
| Mailing Fax Number | 7652132769 |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | MR. BRYAN AYARS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7657472971 |
| Is Organization Subpart | Y |
| Parent Organization Name | OPEN DOOR HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200167970 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2600 W White River Blvd, Muncie, IN 473035263 | 7652867000 | |
| 1791 W Lincoln Rd, Suite C, Kokomo, IN 469023590 | 7652867000 | 7652132769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023671740 | Open Door Health Services, Inc. | Clinic/Center | 1804-1806 West Royale Dr, Muncie, IN 47304-2243 | 2019-04-18 |
| 1477885465 | Open Door Health Services, Inc. | Clinic/Center | 1912 Jackson St, Anderson, IN 46016-4336 | 2010-02-02 |
| 1336279967 | Open Door Health Services, Inc. | Clinic/Center | 2525 E 10th St, Anderson, IN 46012-4409 | 2007-03-06 |
| 1770510240 | Open Door Health Services, Inc. | Clinic/Center | 1651 E 29th St, Muncie, IN 47302-5886 | 2006-06-28 |
| 1902851082 | Open Door Health Services, Inc. | Clinic/Center | 333 S Madison St, Muncie, IN 47305-2465 | 2006-05-24 |
| 1912080060 | Open Door Health Services, Inc. | Clinic/Center | 905 S Walnut St, Muncie, IN 47302-2333 | 2006-10-23 |
| 1508811910 | Open Door Health Services, Inc. | Clinic/Center | 2101 Jackson St, Suite 8, Medical Arts Bldg., Anderson, IN 46016-4388 | 2006-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | OPEN DOOR HEALTH SERVICES, INC. | 333 S. Madison Street, Muncie, IN 47305 |
| Street Address |
215 S HUTCHINSON AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437129798 | Charles R. Routh | Internal Medicine | 215 S Hutchinson Ave, Muncie, IN 47303-4774 | 2006-01-26 |
| 1972999381 | Garg Pediatrics LLC | Pediatrics | 215 S Hutchinson Ave, Muncie, IN 47303-4774 | 2015-04-13 |
| 1114247020 | Indiana University Health Ball Memorial Physicians, Inc. | Internal Medicine | 215 S Hutchinson Ave, Muncie, IN 47303-4774 | 2010-06-03 |
| 1487974390 | East Central Indiana Primary Care Network | Internal Medicine | 215 S Hutchinson Ave, Muncie, IN 47303-4774 | 2010-06-03 |
| 1679594055 | Sanjay K Garg | Pediatrics | 215 S Hutchinson Ave, Muncie, IN 47303-4774 | 2006-07-21 |
| 1356369235 | Seema Garg | Pediatrics | 215 S Hutchinson Ave, Muncie, IN 47303-4774 | 2006-07-18 |
| 1891726683 | Cardinal Health Partners, LLC | Internal Medicine | 215 S Hutchinson Ave, Muncie, IN 47303-4774 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626744 | Meridian Health Services Corp. | Clinic/Center | 801 N Walnut St # 1, Muncie, IN 47305-1458 | 2020-07-20 |
| 1316573413 | Meridian Health Services Corp. | Clinic/Center | 1601 E 26th St # 6, Muncie, IN 47302-5808 | 2020-03-20 |
| 1023671740 | Open Door Health Services, Inc. | Clinic/Center | 1804-1806 West Royale Dr, Muncie, IN 47304-2243 | 2019-04-18 |
| 1770510240 | Open Door Health Services, Inc. | Clinic/Center | 1651 E 29th St, Muncie, IN 47302-5886 | 2006-06-28 |
| 1902851082 | Open Door Health Services, Inc. | Clinic/Center | 333 S Madison St, Muncie, IN 47305-2465 | 2006-05-24 |
| 1144859661 | Meridian Health Services Corp. | Clinic/Center | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-04-06 |
| 1669934345 | Meridian Health Services Corp | Clinic/Center | 205 N Tillotson Ave Rm Rehab, Muncie, IN 47304-3900 | 2019-04-02 |
| 1346785037 | Meridian Health Services Corp | Clinic/Center | 130 N Tillotson Ave, Muncie, IN 47304-3987 | 2017-01-04 |
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| 1205446259 | Hamilton Center Inc. | Clinic/Center | 622 8th Avenue, Terre Haute, IN 47804-4780 | 2020-08-05 |
| 1477188217 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1112 Southeastern Ave, Indianapolis, IN 46202-3947 | 2020-03-11 |
| 1023642576 | Southlake Community Mental Health Center Inc. | Clinic/Center | 2250 173rd St Ste 111, Hammond, IN 46323-2074 | 2020-02-24 |
| 1053944058 | 219 Health Network Inc | Clinic/Center | 1802 E Columbus Dr, East Chicago, IN 46312-2826 | 2020-02-18 |
| 1225661234 | 219 Health Network Inc | Clinic/Center | 4320 Fir St Unit 208, East Chicago, IN 46312-8410 | 2020-02-18 |
| 1578194049 | Meridian Health Services Corp | Clinic/Center | 520 S 9th St Ste A, Richmond, IN 47374-6230 | 2020-02-03 |
| 1578025896 | 219 Health Network Inc | Clinic/Center | 4320 First Street, Suite 211, East Chicago, IN 46312 | 2019-04-04 |
| 1487110169 | Meridian Health Services Corp | Clinic/Center | 800 N Central Ave, Alexandria, IN 46001-8172 | 2019-02-18 |
| 1619433513 | Meridian Health Services Corp | Clinic/Center | 101 N Harrison St, Alexandria, IN 46001-2017 | 2019-02-15 |
| Find all providers with the same taxonomy | ||||
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| 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.