| Indiana Health Centers, Inc. | |
|
3118 S Lafountain St Kokomo IN 46902-3710 | |
| (765) 864-4160 | |
| Not Available |
| Full Name | Indiana Health Centers, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3118 S Lafountain St, Kokomo, Indiana |
| Authorized Official Name and Position | Terrance Drake (CHIEF MEDICAL OFFICER) |
| 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 Dr Indianapolis IN 46250-1946 Ph: () - | Indiana Health Centers, Inc. 3118 S Lafountain St Kokomo IN 46902-3710 Ph: (765) 864-4160 |
| NPI Number | 1114395647 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 09/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114395647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 28171905A (Indiana) | Primary |
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