Providence Medical Associates Llc

LBN: Providence Medical Associates Llc
Providence Medical Associates Llc is an health care organization with primary practice located at 1935 N Capitol Ave Ste 107 , Indianapolis IN 46202-6403. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Providence Medical Associates Llc can be contacted via phone (716) 686-2104, or through Brimmo-Longe, Olufunke Louise via phone (716) 686-2104.

Contact Information

Primary practice address
1935 N Capitol Ave Ste 107 Indianapolis IN 46202-6403
Phone: (716) 686-2104
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brimmo-Longe, Olufunke Louise
Phone: (716) 686-2104

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1326654070
LBN Legal business name Providence Medical Associates Llc
DBA Doing business as
Authorized official Brimmo-Longe, Olufunke Louise
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2020
Last updated Oct 22nd, 2020 - about 6 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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