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1427154814

NPI Code Detail

MEDICARE: DAMAR SERVICES INC

MEDICARE: DAMAR SERVICES INC

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
1	103TC0700X	Clinical Psychologist
2	103K00000X	Behavior Analyst
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427154814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAMAR SERVICES INC

Provider Business Mailing Address
First Line	:	6067 DECATUR BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46241-9606
Country	:	US
Telephone Number	:	317-856-5201
Fax Number	:	317-856-2333

Provider Business Practice Location Address
First Line	:	6067 DECATUR BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46241-9606
Country	:	US
Telephone Number	:	317-856-5201
Fax Number	:	317-856-2333

Authorized Official
Title or Position	:	CEO
Name	:	JIM L. DALTON
Credential	:
Telephone Number	:	317-281-4545

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	06/26/2025

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Directions to “DAMAR SERVICES INC ” Practice Location

Language	Start Address	Practice Location

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