DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: THE SALVATION ARMY, AN ILLINOIS CORPORATION

MEDICARE: THE SALVATION ARMY, AN ILLINOIS CORPORATION
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659851905
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE SALVATION ARMY, AN ILLINOIS CORPORATION
Provider Business Mailing Address
First Line : 2400 N TIBBS AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-2458
Country : US
Telephone Number : 317-972-1450
Fax Number : 317-972-1075
Provider Business Practice Location Address
First Line : 2400 N TIBBS AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-2458
Country : US
Telephone Number : 317-972-1450
Fax Number : 317-972-1075
Authorized Official
Title or Position : CORPORATE SECRETARY
Name : BRAMWELL HIGGINS
Credential :
Telephone Number : 847-294-2000
Provider Enumeration Date : 08/16/2018
Last Update Date : 08/16/2018

Similar Medicare Providers

1174603831 — WALTER GUY WHITE MSPT
Practice Location Address:
5936 N KEYSTONE AVE , SUITE 101
INDIANAPOLIS, IN
46220-2458
Practice Phone: 317-257-8340
Practice Fax: 317-257-8361
1407936172 — JILL MARIE LONGFELLOW DPT
Practice Location Address:
5936 N KEYSTONE AVE , SUITE 101
INDIANAPOLIS, IN
46220-2458
Practice Phone: 317-257-8340
Practice Fax: 317-257-8361
1780711374 — PHYSIOTHERAPY ASSOCIATES INC
Practice Location Address:
5936 N KEYSTONE AVE , SUITE 101
INDIANAPOLIS, IN
46220-2458
Practice Phone: 317-257-8340
Practice Fax: 317-257-8361
1568637197 — SUSAN KAY PARRY OT
Practice Location Address:
5936 N KEYSTONE AVE , SUITE 101
INDIANAPOLIS, IN
46220-2458
Practice Phone: 317-257-8340
Practice Fax: 317-257-8361
1407021108 — ANGIE MARIE DYKSTRA PT
Practice Location Address:
5936 N KEYSTONE AVE , SUITE 101
INDIANAPOLIS, IN
46220-2458
Practice Phone: 317-257-8340
Practice Fax: 317-257-8361
1184899718 — SONJA LYNN SCHAECKENBACH OT
Practice Location Address:
5936 N KEYSTONE AVE , SUITE 101
INDIANAPOLIS, IN
46220-2458
Practice Phone: 317-257-8340
Practice Fax: 317-257-8361

Directions to “THE SALVATION ARMY, AN ILLINOIS CORPORATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.