| Eskenazi Health Center Blackburn | |
|
2700 Dr Martin Luther King Jr St Indianapolis IN 46208-5019 | |
| (317) 931-4300 | |
| (317) 931-4330 |
| Full Name | Eskenazi Health Center Blackburn |
|---|---|
| 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 |
|---|---|
| Eskenazi Health Center Blackburn Po Box 637951 Cincinnati OH 45263-7951 Ph: () - | Eskenazi Health Center Blackburn 2700 Dr Martin Luther King Jr St Indianapolis IN 46208-5019 Ph: (317) 931-4300 |
| NPI Number | 1942549274 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 09/05/2023 |
| Medicare PECOS PAC ID | 6709795974 |
|---|---|
| Medicare Enrollment ID | O20130311000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942549274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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