Community Integration Support Services

LBN: Community Integration Support Services
Community Integration Support Services is an health care organization with primary practice located at 7560 Old Trails Rd , Indianapolis IN 46219-6743. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Community Integration Support Services can be contacted via phone (317) 429-9885, or through Paul, Tim via phone (317) 201-5090.

Contact Information

Primary practice address
7560 Old Trails Rd Indianapolis IN 46219-6743
Phone: (317) 429-9885
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Paul, Tim
Phone: (317) 201-5090

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1285023036
LBN Legal business name Community Integration Support Services
DBA Doing business as
Authorized official Paul, Tim
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2015
Last updated Jan 16th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285023036 NPPES
Indiana MEDICAID 201267110A

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