Provider Demographics
NPI:1073329967
Name:TARGA HEALTH SOLUTIONS
Entity type:Organization
Organization Name:TARGA HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:CLAYTON
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:317-379-1832
Mailing Address - Street 1:17784 OAK EDGE CIR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-9676
Mailing Address - Country:US
Mailing Address - Phone:317-379-1832
Mailing Address - Fax:
Practice Address - Street 1:17784 OAK EDGE CIR
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-9676
Practice Address - Country:US
Practice Address - Phone:317-379-1832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty