Provider Demographics
NPI:1609755594
Name:MARY RIGG NEIGHBORHOOD CENTER, INC.
Entity type:Organization
Organization Name:MARY RIGG NEIGHBORHOOD CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KASSIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:463-900-4733
Mailing Address - Street 1:1920 W MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46221-1540
Mailing Address - Country:US
Mailing Address - Phone:463-900-4733
Mailing Address - Fax:
Practice Address - Street 1:1920 W MORRIS ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46221-1540
Practice Address - Country:US
Practice Address - Phone:463-900-4733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1629955406OtherCENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS)