CIRCLE CITY IOP LLC


Address: 6202 Carrollton Ave, Indianapolis, IN 46220-1925
Phone: 3105954905

CIRCLE CITY IOP LLC (NPI# 1285251421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285251421
Entity Type Organization
Organization Name CIRCLE CITY IOP LLC
Practice Address 6202 Carrollton Ave
Indianapolis
IN 46220-1925
Mailing Address 30870 Broad Beach Rd
Malibu
CA 90265-2663
Practice Telephone 3105954905
Mailing Telephone 3105954905
Enumeration Date 2020-07-04
Last Update Date 2020-07-04
Authorized Official Name MR. CHARLES BENTZ (MANAGING PARTNER)
Authorized Official Telephone 3105954905
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Circle City IOP Other Name - Individual/Organization

Office Location

Street Address 6202 CARROLLTON AVE
City INDIANAPOLIS
State IN
Zip Code 46220-1925

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City INDIANAPOLIS
Zip Code 46220

Improve Information

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Dataset Information

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.

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