| Indiana Health Centers Inc | |
|
8003 Castleway Dr Indianapolis IN 46250 | |
| (317) 576-1335 | |
| (317) 576-1339 |
| Full Name | Indiana Health Centers Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 8003 Castleway Dr, Indianapolis, Indiana |
| Authorized Official Name and Position | Terrance J. Drake (CHIEF MEDICAL OFFICER (CMO)) |
| Authorized Official Contact | 3175761335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Health Centers Inc 8003 Castleway Drive Indianapolis IN 46250 Ph: (317) 576-1335 | Indiana Health Centers Inc 8003 Castleway Dr Indianapolis IN 46250 Ph: (317) 576-1335 |
| NPI Number | 1942303086 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 12/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942303086 | NPI | - | NPPES |
| 100071250 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Indiana) | Primary |
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