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9443 E 38th St Indianapolis IN 46235-2132 | |
(317) 890-2100 | |
(317) 890-2171 |
Full Name | |
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Speciality | Clinic/Center |
Location | 9443 E 38th 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 637764 Cincinnati OH 45263-7764 Ph: () - | 9443 E 38th St Indianapolis IN 46235-2132 Ph: (317) 890-2100 |
NPI Number | 1194064543 |
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Provider Enumeration Date | 02/05/2013 |
Last Update Date | 09/05/2023 |
Medicare PECOS PAC ID | 6709795974 |
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Medicare Enrollment ID | O20130502000474 |
Identifier | Type | State | Issuer |
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1194064543 | 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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