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Contact Information

IDELLA SIMMONS MD FAMILY MEDICINE LLC
950 N ALABAMA ST
INDIANAPOLIS, IN46202-3350
 Phone: 317-916-9946
 Fax: 317-916-9979
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for IDELLA SIMMONS MD FAMILY MEDICINE LLC

NPI # 1700056058
LBN Legal business name IDELLA SIMMONS MD FAMILY MEDICINE LLC
Authorized official IDELLA SIMMONS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2008
Last updated 06/11/2014 - About 12 years ago
Identifiers
IN License # 01050509A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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