| Eskenazi Health Center Community (fqhc) | |
|
1434 Shelby St Indianapolis IN 46203-1945 | |
| (317) 655-3200 | |
| Not Available |
| Full Name | Eskenazi Health Center Community (fqhc) |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1434 Shelby St, Indianapolis, Indiana |
| Authorized Official Name and Position | John Kunzer (PEDIATRICIAN) |
| Authorized Official Contact | 3178808211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eskenazi Health Center Community (fqhc) 720 Eskenazi Ave Indianapolis IN 46202-5166 Ph: () - | Eskenazi Health Center Community (fqhc) 1434 Shelby St Indianapolis IN 46203-1945 Ph: (317) 655-3200 |
| NPI Number | 1124401856 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124401856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 12012361A (Indiana) | Primary |
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