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NPI Code Detail

MEDICARE: WORKPLACE HEALTH SERVICES, LLC

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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1417333659
Entity Type Code : Organization
Provider Name (Legal Business Name) : WORKPLACE HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 950 N MERIDIAN ST
Second Line : SUITE 950
City : INDIANAPOLIS
State : IN
Zip : 46204-1077
Country : US
Telephone Number : 317-963-1616
Fax Number :
Provider Business Practice Location Address
First Line : 602 N HIGH SCHOOL RD
Second Line : SUITE C
City : INDIANAPOLIS
State : IN
Zip : 46214-3694
Country : US
Telephone Number : 317-536-2200
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : GERALDINE DARROCA
Credential : MD
Telephone Number : 317-963-1618
Provider Enumeration Date : 08/10/2015
Last Update Date : 08/10/2015

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Directions to “WORKPLACE HEALTH SERVICES, LLC ” Practice Location

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