MEDICARE: STATE OF INDIANA, AUDITOR OF STATE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1043338684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STATE OF INDIANA, AUDITOR OF STATE

Provider Business Mailing Address
First Line	:	5435 EAST 16TH STREET
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-5101
Country	:	US
Telephone Number	:	317-941-4000
Fax Number	:	317-941-4378

Provider Business Practice Location Address
First Line	:	5435 EAST 16TH STREET
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46218-5101
Country	:	US
Telephone Number	:	317-941-4000
Fax Number	:	317-941-4378

Authorized Official
Title or Position	:	CONTROLLER, INDIANA FAMILY & SOCIAL
Name	:	DONNA L RUTHERFORD
Credential	:
Telephone Number	:	317-232-7862

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	01/09/2019

Similar Medicare Providers

1356356968 — STATE OF INDIANA AUDITOR OF STATE
Practice Location Address:

5435 EAST 16TH STREET
INDIANAPOLIS, IN
46218-5101

Practice Phone: 317-941-4000
Practice Fax: 317-941-4378

1174654305 — STATE OF INDIANA, AUDITOR OF STATE
Practice Location Address:

5435 EAST 16TH STREET
INDIANAPOLIS, IN
46218-5101

Practice Phone: 317-941-4000
Practice Fax: 317-941-4378

1346068517 — NOE MCDONALD
Practice Location Address:

5801 E 16TH ST
INDIANAPOLIS, IN
46218-5101

Practice Phone: 317-226-4288
Practice Fax:

1760412936 — CG-DSA, LLC
Practice Location Address:

7603 E 10TH ST
INDIANAPOLIS, IN
46219-5101

Practice Phone: 317-477-0093
Practice Fax: 317-348-3430

1487879425 — ADVANCED CHILDREN'S THERAPY, INC.
Practice Location Address:

5101 GUILFORD AVE
INDIANAPOLIS, IN
46205-1141

Practice Phone: 866-566-8260
Practice Fax:

1285956664 — MR. STEVEN M. HARRIGAN RPH
Practice Location Address:

5101 E THOMPSON RD
INDIANAPOLIS, IN
46237-2084

Practice Phone: 317-786-2748
Practice Fax:

Directions to “STATE OF INDIANA, AUDITOR OF STATE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.