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NPI Code Detail

MEDICARE: ASPIRE INDIANA HEALTH INC.

MEDICARE: ASPIRE INDIANA HEALTH 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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1508366030
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRE INDIANA HEALTH INC.
Provider Business Mailing Address
First Line : 9615 E 148TH ST STE 1
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-4371
Country : US
Telephone Number : 317-574-1254
Fax Number : 317-674-0060
Provider Business Practice Location Address
First Line : 17840 CUMBERLAND RD
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-5409
Country : US
Telephone Number : 317-574-1254
Fax Number : 317-674-0060
Authorized Official
Title or Position : CFO
Name : TIMOTHY D CROCKETT
Credential :
Telephone Number : 317-587-0505
Provider Enumeration Date : 02/21/2018
Last Update Date : 04/06/2026

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Directions to “ASPIRE INDIANA HEALTH INC. ” Practice Location

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