NPI 1679687503

Richard L. Roudebush VA Medical Center

Organisation Military Hospital Indianapolis, IN

Practice location

Address: 3602 E Michigan St, Indianapolis, IN 46201-3466
Phone: (317) 988-2623
Mailing address: 12306 Blue Springs Ln, Fishers, IN 46037-4053

Authorised official

Name: Nicole Madou
Title: Social Worker
Phone: (317) 988-2623

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X

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Registry record

NPI: 1679687503
Entity type: Organization
NPI issued: 18 Aug 2006
Record last updated: 22 Aug 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.