| |
2700 Dr Martin Luther King Jr St Indianapolis IN 46208-5019 | |
(317) 931-4300 | |
(317) 931-4330 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2700 Dr Martin Luther King Jr St, Indianapolis, Indiana |
Authorized Official Name and Position | Christopher Scott (CHIEF CLINICAL AND REVENUE OFFICER) |
Authorized Official Contact | 3178804440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 637951 Cincinnati OH 45263-7951 Ph: () - | 2700 Dr Martin Luther King Jr St Indianapolis IN 46208-5019 Ph: (317) 931-4300 |
NPI Number | 1942549274 |
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Provider Enumeration Date | 02/06/2013 |
Last Update Date | 09/05/2023 |
Medicare PECOS PAC ID | 6709795974 |
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Medicare Enrollment ID | O20130311000469 |
Identifier | Type | State | Issuer |
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1942549274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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