Provider Demographics
NPI:1558616730
Name:MARTIN CENTER, INC.
Entity Type:Organization
Organization Name:MARTIN CENTER, INC.
Other - Org Name:SICKLE CELL PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-414-2215
Mailing Address - Street 1:3549 N COLLEGE AVE
Mailing Address - Street 2:3545 NORTH COLLEGE AVENUE
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-3733
Mailing Address - Country:US
Mailing Address - Phone:317-927-5158
Mailing Address - Fax:317-927-5167
Practice Address - Street 1:3549 N COLLEGE AVE
Practice Address - Street 2:3545 NORTH COLLEGE AVENUE
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-3733
Practice Address - Country:US
Practice Address - Phone:317-927-5158
Practice Address - Fax:317-927-5167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management