| |
720 Eskenazi Ave Eskenazi Health Outpatient Care Center, 2nd Floor Indianapolis IN 46202-5166 | |
(317) 880-7666 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 720 Eskenazi Ave, Indianapolis, Indiana |
Authorized Official Name and Position | Nancy A Buxser (COO) |
Authorized Official Contact | 3178805101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 637951 Cincinnati OH 45263-7951 Ph: (317) 880-4055 | 720 Eskenazi Ave Eskenazi Health Outpatient Care Center, 2nd Floor Indianapolis IN 46202-5166 Ph: (317) 880-7666 |
NPI Number | 1164852513 |
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Provider Enumeration Date | 11/21/2013 |
Last Update Date | 01/31/2014 |
Identifier | Type | State | Issuer |
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1164852513 | 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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