Eskenazi Health Center Westside | |
2732 W Michigan St Indianapolis IN 46222-3750 | |
(317) 554-4600 | |
(317) 554-4617 |
Full Name | Eskenazi Health Center Westside |
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Speciality | Clinic/Center |
Location | 2732 W Michigan St, Indianapolis, Indiana |
Authorized Official Name and Position | Christopher M 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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Eskenazi Health Center Westside Po Box 637764 Cincinnati OH 45263-7764 Ph: () - | Eskenazi Health Center Westside 2732 W Michigan St Indianapolis IN 46222-3750 Ph: (317) 554-4600 |
NPI Number | 1083953442 |
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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 | O20130312000424 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083953442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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