| Indiana Health Centers, Inc | |
|
1102 Fellows St South Bend IN 46601-3514 | |
| (574) 234-9033 | |
| (574) 234-9059 |
| Full Name | Indiana Health Centers, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1102 Fellows St, South Bend, Indiana |
| Authorized Official Name and Position | Tracy J Nagel (CFO) |
| 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: (317) 576-1335 | Indiana Health Centers, Inc 1102 Fellows St South Bend IN 46601-3514 Ph: (574) 234-9033 |
| NPI Number | 1558629634 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558629634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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