NPI 1104133511

Open Door Health Services, INC.

Organisation Federally Qualified Health Center (FQHC) Muncie, IN

Practice location

Address: 2600 W White River Blvd, Muncie, IN 47303-5263
Phone: (765) 286-7000
Mailing address: PO Box 1676, Muncie, IN 47308-1676

Authorised official

Name: Bryan Ayars
Title: Chief Executive Officer
Phone: (765) 747-2971

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

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Registry record

NPI: 1104133511
Entity type: Organization
NPI issued: 7 Sep 2010
Record last updated: 30 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.