Provider Demographics
NPI:1609268259
Name:POST ACUTE CARE SPECIALISTS LLC
Entity Type:Organization
Organization Name:POST ACUTE CARE SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-781-3604
Mailing Address - Street 1:PO BOX 1921
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-1921
Mailing Address - Country:US
Mailing Address - Phone:317-781-3604
Mailing Address - Fax:317-780-3353
Practice Address - Street 1:5224 S EAST ST
Practice Address - Street 2:SUITE 9
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-1985
Practice Address - Country:US
Practice Address - Phone:317-781-3604
Practice Address - Fax:317-780-3353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-19
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INDV6439OtherRAILROAD MEDICARE
IN201291940AMedicaid
INDV6439OtherRAILROAD MEDICARE