Provider Demographics
NPI:1457736811
Name:ACE MEDICAL SERVICES
Entity Type:Organization
Organization Name:ACE MEDICAL SERVICES
Other - Org Name:THE CASE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-455-3192
Mailing Address - Street 1:855 N HIGH SCHOOL RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-5701
Mailing Address - Country:US
Mailing Address - Phone:317-270-9500
Mailing Address - Fax:
Practice Address - Street 1:855 N HIGH SCHOOL RD
Practice Address - Street 2:SUITE 5
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-5701
Practice Address - Country:US
Practice Address - Phone:317-270-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty