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NPI Code Detail

MEDICARE: 6330 DIGITAL WAY OPS LLC

MEDICARE: 6330 DIGITAL WAY OPS 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
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1447095716
Entity Type Code : Organization
Provider Name (Legal Business Name) : 6330 DIGITAL WAY OPS LLC
Provider Business Mailing Address
First Line : 133 HOLIDAY CT STE 102
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-1386
Country : US
Telephone Number : 629-257-8260
Fax Number :
Provider Business Practice Location Address
First Line : 6330 DIGITAL WAY
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-1667
Country : US
Telephone Number : 314-473-6688
Fax Number : 833-645-0909
Authorized Official
Title or Position : DIRECTOR OF MANAGED CARE
Name : ALICIA NEAL
Credential :
Telephone Number : 629-257-8260
Provider Enumeration Date : 06/28/2024
Last Update Date : 08/28/2025

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