| Eskenazi Health Center Pcc - Pediatrics | |
|
720 Eskenazi Ave Eskenazi Health Outpatient Care Center, 2nd Floor Indianapolis IN 46202-5166 | |
| (317) 880-7000 | |
| Not Available |
| Full Name | Eskenazi Health Center Pcc - Pediatrics |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 720 Eskenazi Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Nancy Buxser (COO) |
| Authorized Official Contact | 3178805101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eskenazi Health Center Pcc - Pediatrics Po Box 637951 Cincinnati OH 45263-7951 Ph: () - | Eskenazi Health Center Pcc - Pediatrics 720 Eskenazi Ave Eskenazi Health Outpatient Care Center, 2nd Floor Indianapolis IN 46202-5166 Ph: (317) 880-7000 |
| NPI Number | 1184963530 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 06/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184963530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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