| Indiana Health Centers @ Kokomo | |
|
3118 S Lafountain St Kokomo IN 46902-3710 | |
| (765) 864-4160 | |
| (765) 400-4467 |
| Full Name | Indiana Health Centers @ Kokomo |
|---|---|
| Speciality | Clinic/Center |
| Location | 3118 S Lafountain St, Kokomo, Indiana |
| Authorized Official Name and Position | Tracy Nagel (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3175761335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Health Centers @ Kokomo 8003 Castleway Dr Indianapolis IN 46250-1946 Ph: (317) 576-1335 | Indiana Health Centers @ Kokomo 3118 S Lafountain St Kokomo IN 46902-3710 Ph: (765) 864-4160 |
| NPI Number | 1811007800 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 03/17/2023 |
| Medicare PECOS PAC ID | 3971599473 |
|---|---|
| Medicare Enrollment ID | O20061110000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811007800 | NPI | - | NPPES |
| 100071250 A | Medicaid | IN |
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