NPI 1417417718

Mdwise, INC.

Organisation Health Maintenance Organization Indianapolis, IN

Practice location

Address: 1200 Madison Ave STE 400, Indianapolis, IN 46225-1616
Phone: (317) 822-7306

Authorised official

Name: Jason Donald Fricke
Title: Director of Market Performance
Phone: (317) 822-7320

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1417417718
Entity type: Organization
NPI issued: 22 Mar 2019
Record last updated: 22 Mar 2019

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.