<unavail> in Indianapolis, IN

is a primary clinic (Clinic/center - Community Health) in Indianapolis, Indiana. The current practice location for is 1650 N College Ave, Indianapolis, Indiana. For appointments, you can reach them via phone at (317) 924-6351. The mailing address for is 1650 N College Ave, Indianapolis, Indiana and phone number is (317) 924-6351.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1689653982. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (317) 924-6351.

Contact Information


	1650 N College Ave Indianapolis IN 46202-1715
	(317) 924-6351
	(317) 927-3634

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Community Health
Location	1650 N College Ave, Indianapolis, Indiana
Authorized Official Name and Position	Ron Gibson (CEO)
Authorized Official Contact	3173960279
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1650 N College Ave Indianapolis IN 46202-1715 Ph: (317) 924-6351	1650 N College Ave Indianapolis IN 46202-1715 Ph: (317) 924-6351

NPI Details:

NPI Number	1689653982
Provider Enumeration Date	01/13/2006
Last Update Date	12/27/2012

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689653982	NPI	-	NPPES
100196020B	Medicaid	IN
1524758	Other		NCPDP PROVIDER IDENTIFICATION NUMBER
100196020A	Medicaid	IN
100297090A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QC1500X	Clinic/center - Community Health	(* (Not Available))	Primary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	50000856A (Indiana)	Secondary
3336C0002X	Pharmacy - Clinic Pharmacy	60003640A (Indiana)	Secondary

Reviews and Comments

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- Primary Care in Indianapolis, IN