CARRIE B. BOYD HEALTHCARE CENTER (NPI# 1609323708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609323708 |
| Entity Type | Organization |
| Organization Name | CARRIE B. BOYD HEALTHCARE CENTER |
| Practice Address |
5555 N Tacoma Ave 12 Indianapolis IN 46220-3512 |
| Mailing Address |
Po Box 7140 Fishers IN 46038-7140 |
| Practice Telephone | 3175010210 |
| Mailing Telephone | 3175010210 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |
| Authorized Official Name | DR. CARLA V CORK (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 3175010210 |
| Authorized Official Credential | D.O., M.A.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
02003708A | IN | Ambulatory Health Care Facilities |
| Street Address |
5555 N TACOMA AVE 12 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548245889 | Charles W Sanders | Counselor | 5555 N Tacoma Ave, Ste 204, Indianapolis, IN 46220-3512 | 2005-12-09 |
| 1740728930 | Together We Can Consultants, LLC | Community/Behavioral Health | 5555 N Tacoma Ave, Indianapolis, IN 46220-3512 | 2017-02-07 |
| 1093260515 | Intouch Christian Counseling, LLC | Counselor | 5555 N Tacoma Ave, Suite 210, Indianapolis, IN 46220-3512 | 2016-08-25 |
| 1083039903 | Robin Eutz | Counselor | 5555 N Tacoma Ave, Suite 106, Indianapolis, IN 46220-3512 | 2014-02-28 |
| 1033478516 | Robert P. Brown | Counselor | 5555 N Tacoma Ave, Suite 201, Indianapolis, IN 46220-3512 | 2012-05-03 |
| 1508142597 | Louise Walker Loving Polansky | Counselor | 5555 N Tacoma Ave, Suite 11, Indianapolis, IN 46220-3512 | 2011-10-23 |
| 1588948822 | Debra Denise Buckner | Counselor | 5555 N Tacoma Ave, Suite 201, Indianapolis, IN 46220-3512 | 2011-10-05 |
| 1083906531 | Family Preservation Counseling & Consulting | Counselor | 5555 N Tacoma Ave, Suite 201, Indianapolis, IN 46220-3512 | 2011-05-03 |
| 1225295447 | Sanders and Associates. LLC | Social Worker | 5555 N Tacoma Ave, Suite 204, Indianapolis, IN 46220-3512 | 2008-05-16 |
| 1194915926 | Carla Cork | Family Medicine | 5555 N Tacoma Ave, Suite, 12, Indianapolis, IN 46220-3512 | 2007-07-27 |
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| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
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| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1265063622 | Tracey Williams | Clinic/Center | 55 S State Ave, Indianapolis, IN 46201-3802 | 2020-02-03 |
| 1679015028 | Dr Hill Eye Care | Clinic/Center | 8230 Rockville Rd, Indianapolis, IN 46214-3113 | 2016-11-15 |
| 1841698073 | Therapy Resources of Indiana | Clinic/Center | 7855 S Emerson Ave Ste H, Indianapolis, IN 46237-8669 | 2014-12-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on CARRIE B. BOYD HEALTHCARE CENTER.
| 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.