INDIANA MOTHERS' MILK BANK, INC.


Address: 6820 Parkdale Pl Ste 109, Indianapolis, IN 46254-4699
Phone: 3173287147

INDIANA MOTHERS' MILK BANK, INC. (NPI# 1649318080) 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) 1649318080
Entity Type Organization
Organization Name INDIANA MOTHERS' MILK BANK, INC.
Practice Address 6820 Parkdale Pl Ste 109
Indianapolis
IN 46254-4699
Practice Telephone 3173287147
Practice Fax Number 3173297151
Mailing Telephone 3173287147
Mailing Fax Number 3173297151
Enumeration Date 2007-02-01
Last Update Date 2008-04-20
Authorized Official Name MS. MARY LOU ALEXANDER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3173297147
Authorized Official Credential M.S.W.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251V00000X Voluntary or Charitable IN Agencies

Office Location

Street Address 6820 PARKDALE PL STE 109
City INDIANAPOLIS
State IN
Zip Code 46254-4699

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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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City INDIANAPOLIS
Zip Code 46254

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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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