| Neighborhood Health Clinics, Inc | |
|
1721 S Calhoun St Fort Wayne IN 46802 | |
| (260) 458-2641 | |
| (260) 458-3093 |
| Full Name | Neighborhood Health Clinics, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1721 S Calhoun St, Fort Wayne, Indiana |
| Authorized Official Name and Position | Angela M Zaegel (PRESIDENT/CEO) |
| Authorized Official Contact | 2604582646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Health Clinics, Inc 1717 S Calhoun St Fort Wayne IN 46802-5257 Ph: (260) 458-2641 | Neighborhood Health Clinics, Inc 1721 S Calhoun St Fort Wayne IN 46802 Ph: (260) 458-2641 |
| NPI Number | 1669879664 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 09/19/2016 |
| Medicare PECOS PAC ID | 8022926294 |
|---|---|
| Medicare Enrollment ID | O20120813000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669879664 | NPI | - | NPPES |
| 15-1884 | Other | IN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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