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General NPI Number Information
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NPI Number | 1538514344
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Entity Type | Organization
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Legal Business Name | ADULT AND CHILD MENTAL HEALTH CENTER INC
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 8320 MADISON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-6066
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Country | US
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Telephone | 317-882-5122
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Fax | 317-888-8642
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Provider Business Mailing Address
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Address Line | 222 E OHIO ST STE 600
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-2169
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Country | US
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Telephone | 317-275-8817
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Fax | 317-632-6148
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Authorized Official
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Title or Position | VP MANAGED CARE
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Name | AMANDA R CARTER
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Credential |
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Telephone | 417-761-5126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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