| Raphael Health Center - Salvation Army | |
|
711 E Washington St Indianapolis IN 46202-3915 | |
| (317) 226-4248 | |
| Not Available |
| Full Name | Raphael Health Center - Salvation Army |
|---|---|
| Speciality | Clinic/Center |
| Location | 711 E Washington St, Indianapolis, Indiana |
| Authorized Official Name and Position | Paul M Utterback (CFO) |
| Authorized Official Contact | 3172264248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raphael Health Center - Salvation Army 401 E 34th St Indianapolis IN 46205-3754 Ph: (317) 226-4248 | Raphael Health Center - Salvation Army 711 E Washington St Indianapolis IN 46202-3915 Ph: (317) 226-4248 |
| NPI Number | 1881383420 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 07/10/2023 |
| Medicare PECOS PAC ID | 4486562659 |
|---|---|
| Medicare Enrollment ID | O20230824003338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881383420 | NPI | - | NPPES |
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