EAST INDIANA RECOVERY, LLC – NPI #1013418599
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

EAST INDIANA RECOVERY, LLC is a provider located in RICHMOND, IN. NPPES has assigned the NPI number 1013418599 to EAST INDIANA RECOVERY, LLC on February 21, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST INDIANA RECOVERY, LLC below.

NPI Profile for
EAST INDIANA RECOVERY, LLC

NPI Number
1013418599
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST INDIANA RECOVERY, LLC
Primary location
1528 NW 5TH ST
RICHMOND, IN 47374-1844
Phone: (937) 416-5442 Fax: (765) 935-0073
Mailing address
117 S DIXIE DR STE 3
VANDALIA, OH 45377-2142
Phone: (937) 416-5442 Fax:
Organization Subpart
No
Authorized Official
PAUL KOLODZIK
OWNER
Phone: (937) 825-6220
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.