Raphael Health Center, Inc | |
401 E 34th St Indianapolis IN 46205 | |
(317) 926-1507 | |
(317) 926-1508 |
Full Name | Raphael Health Center, Inc |
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Speciality | Clinic/Center |
Location | 401 E 34th St, Indianapolis, Indiana |
Authorized Official Name and Position | Hoagland C. Elliott (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3179261507 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Raphael Health Center, Inc 401 E 34th St Indianapolis IN 46205-3754 Ph: (317) 926-1507 | Raphael Health Center, Inc 401 E 34th St Indianapolis IN 46205 Ph: (317) 926-1507 |
NPI Number | 1487764759 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 07/26/2018 |
Medicare PECOS PAC ID | 4486562659 |
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Medicare Enrollment ID | O20021205000023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487764759 | NPI | - | NPPES |
200077460A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01051367A (Indiana) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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