INTEGRATED MEDICAL CARE AND NEPHROLOGY LLC


Address: 6925 Shore Ter, Indianapolis, IN 46254-4675
Phone: 3172908288

INTEGRATED MEDICAL CARE AND NEPHROLOGY LLC (NPI# 1679916001) 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) 1679916001
Entity Type Organization
Organization Name INTEGRATED MEDICAL CARE AND NEPHROLOGY LLC
Other Organization Name IMCN
Practice Address 6925 Shore Ter
Indianapolis
IN 46254-4675
Practice Telephone 3172908288
Practice Fax Number 3172908801
Mailing Telephone 3172908288
Mailing Fax Number 3172908801
Enumeration Date 2013-04-16
Last Update Date 2013-11-06
Authorized Official Name DR. BRYANT KING (OWNER)
Authorized Official Telephone 3177579731
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
01061402A IN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IN NPI 1679916001 01

Other Provider/Organization Names

Other Name Type Code
IMCN Doing Business As Name - Organization

Office Location

Street Address 6925 SHORE TER
City INDIANAPOLIS
State IN
Zip Code 46254-4675

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669687331 Indiana Oncology Hematology Consultants Internal Medicine 6925 Shore Ter, Indianapolis, IN 46254-4675 2007-05-14
1093055923 Prings Dialysis LLC Clinic/Center 6925 Shore Ter, Indianapolis, IN 46254-4675 2013-03-01
1184835654 American Health Network of Indiana, LLC Internal Medicine 6925 Shore Ter, Indianapolis, IN 46254-4675 2007-05-25

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1861757023 Integrative Therapeutics LLC Clinic/Center 11074 Woods Bay Ln, Indianapolis, IN 46236-9020 2012-07-12
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1457736811 Ace Medical Services Clinic/Center 855 N High School Rd, Suite 5, Indianapolis, IN 46214-5701 2015-07-28
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1801116223 Neurological Care of Indiana Inc Clinic/Center 3500 Depauw Blvd Ste 2082, Indianapolis, IN 46268-1137 2010-06-08
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Competitor

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City INDIANAPOLIS
Zip Code 46254

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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