Provider Demographics
NPI:1427693670
Name:RONALD MCDONALD HOUSE CHARITIES OF CENTRAL INDIANA
Entity type:Organization
Organization Name:RONALD MCDONALD HOUSE CHARITIES OF CENTRAL INDIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ODGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-267-0605
Mailing Address - Street 1:435 LIMESTONE STREET
Mailing Address - Street 2:
Mailing Address - City:INDIANAPLOIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202
Mailing Address - Country:US
Mailing Address - Phone:317-269-2247
Mailing Address - Fax:317-267-0606
Practice Address - Street 1:435 LIMESTONE STREET
Practice Address - Street 2:
Practice Address - City:INDIANAPLOIS
Practice Address - State:IN
Practice Address - Zip Code:46202
Practice Address - Country:US
Practice Address - Phone:317-269-2247
Practice Address - Fax:317-267-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable