institution
State Of Indiana
Clinic/Center in Knightstown, Indiana
NPI 1982873717

State Of Indiana is a Clinic/Center based in Knightstown, IN. State Of Indiana practices in Knightstown, IN. The NPI Number for State Of Indiana is 1982873717 and holds a License No. STATE OWNED FACILITY (Indiana).

The current practice location address for State Of Indiana is 10892 N State Road 140, Knightstown, IN and can be reached out via phone at 765-345-5141 and via fax at 765-345-7412.

Location: 10892 N State Road 140, Knightstown, IN, 46148-9769
institution
Provider Profile Details
NPI Number
1982873717
Provider Name
State Of Indiana
Credential
Provider Entity Type
Organization
Address
10892 N State Road 140, Knightstown, IN, 46148-9769
Phone Number
765-345-5141
Fax Number
765-345-7412
Provider Enumeration Date
02/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200074490 05 IN
institution
Provider Business Practice Location Address Details
Address
10892 N State Road 140
City
State
Zip
46148-9769
Phone Number
765-345-5141
Fax Number
765-345-7412
person
Provider Business Mailing Address Details
Address
10892 N State Road 140
City
State
Zip
46148-9769
Phone Number
765-345-5141
Fax Number
765-345-7412
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
STATE OWNED FACILITY (Indiana)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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