Healthcare Provider Details

I. General information

NPI: 1942335740
Provider Name (Legal Business Name): CAREY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 10/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 S. WESTERN AVENUE
MARION IN
46953-3565
US

IV. Provider business mailing address

2724 S. CAREY STREET
MARION IN
46953
US

V. Phone/Fax

Practice location:
  • Phone: 765-668-4990
  • Fax: 765-668-4993
Mailing address:
  • Phone: 765-668-8961
  • Fax: 765-664-6747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71002182A
License Number StateIN

VIII. Authorized Official

Name: JAMES R ALLBAUGH
Title or Position: CEO PRESIDENT
Credential:
Phone: 765-668-8961