Healthcare Provider Details

I. General information

NPI: 1780634964
Provider Name (Legal Business Name): HEALTHNET, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 N KEYSTONE AVE STE 100
INDIANAPOLIS IN
46218-2790
US

IV. Provider business mailing address

3908 MEADOWS DR STE C
INDIANAPOLIS IN
46205-3114
US

V. Phone/Fax

Practice location:
  • Phone: 317-957-2300
  • Fax: 317-957-2320
Mailing address:
  • Phone: 317-957-2000
  • Fax: 317-957-2050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH LACKEY
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 317-957-2683