MEDICARE: WORKPLACE HEALTH SERVICES, LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1609387943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORKPLACE HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	950 N MERIDIAN ST STE 950
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1161
Country	:	US
Telephone Number	:	317-963-1612
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 W GOELLER BLVD STE A
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-8312
Country	:	US
Telephone Number	:	812-350-8106
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	GERALDINE DARROCA
Credential	:	MD
Telephone Number	:	317-963-1618

Provider Enumeration Date	:	10/13/2017
Last Update Date	:	10/13/2017

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Directions to “WORKPLACE HEALTH SERVICES, LLC ” Practice Location

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