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NPI Code Detail

MEDICARE: HEALTHNET, INC.

MEDICARE: HEALTHNET, 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
1261QH0100XHealth Service Clinic/Center
2261QF0400XFederally Qualified Health Center (FQHC)

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 : 1780634964
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHNET, INC.
Provider Business Mailing Address
First Line : 3908 MEADOWS DR STE C
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46205-3114
Country : US
Telephone Number : 317-957-2000
Fax Number : 317-957-2050
Provider Business Practice Location Address
First Line : 2855 N KEYSTONE AVE
Second Line : STE 100
City : INDIANAPOLIS
State : IN
Zip : 46218-2790
Country : US
Telephone Number : 317-957-2300
Fax Number : 317-957-2320
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : JOSEPH LACKEY
Credential :
Telephone Number : 317-957-2683
Provider Enumeration Date : 05/11/2006
Last Update Date : 10/22/2025

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Directions to “HEALTHNET, INC. ” Practice Location

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