Provider Demographics
NPI:1992352678
Name:SIGNAL HEALTH GROUP, INC
Entity type:Organization
Organization Name:SIGNAL HEALTH GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:MARCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-260-6145
Mailing Address - Street 1:PO BOX 17460
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-0460
Mailing Address - Country:US
Mailing Address - Phone:800-260-6145
Mailing Address - Fax:
Practice Address - Street 1:3753 HOWARD HUGHES PKWY # 200-216
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-0938
Practice Address - Country:US
Practice Address - Phone:702-544-0179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty