Healthcare Provider Details

I. General information

NPI: 1194003657
Provider Name (Legal Business Name): WINDROSE HEALTH NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2011
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 N MILFORD DR
FRANKLIN IN
46131-7308
US

IV. Provider business mailing address

14 TRAFALGAR SQ
TRAFALGAR IN
46181-9515
US

V. Phone/Fax

Practice location:
  • Phone: 317-739-4848
  • Fax: 317-346-4062
Mailing address:
  • Phone: 317-739-4895
  • Fax: 317-878-2355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: SCOTT ROLLETT
Title or Position: CEO
Credential:
Phone: 317-680-9553