Provider Demographics
NPI:1669043808
Name:WORKPLACE SERVICES, LLC
Entity Type:Organization
Organization Name:WORKPLACE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BERGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-963-1612
Mailing Address - Street 1:714 N SENATE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3297
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1776 W STATE ROAD 234 STE 200
Practice Address - Street 2:
Practice Address - City:FORTVILLE
Practice Address - State:IN
Practice Address - Zip Code:46040-9562
Practice Address - Country:US
Practice Address - Phone:317-482-5000
Practice Address - Fax:317-482-5005
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WORKPLACE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center