MEDICARE: SIGNAL HEALTH GROUP, 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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1992352678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNAL HEALTH GROUP, INC

Provider Business Mailing Address
First Line	:	PO BOX 17460
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46217-0460
Country	:	US
Telephone Number	:	800-260-6145
Fax Number	:

Provider Business Practice Location Address
First Line	:	3753 HOWARD HUGHES PKWY # 200-216
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-0938
Country	:	US
Telephone Number	:	702-544-0179
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HAHN G MARCH
Credential	:
Telephone Number	:	800-260-6145

Provider Enumeration Date	:	08/19/2019
Last Update Date	:	08/19/2019

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