| Shalom Health Care Center, Inc. | |
|
3400 Lafayette Rd Mobile Unit Indianapolis IN 46222-1146 | |
| (317) 291-7422 | |
| Not Available |
| Full Name | Shalom Health Care Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3400 Lafayette Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Leonardo R Ortega (CEO) |
| Authorized Official Contact | 3172917422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalom Health Care Center, Inc. 3400 Lafayette Rd Indianapolis IN 46222-1146 Ph: () - | Shalom Health Care Center, Inc. 3400 Lafayette Rd Mobile Unit Indianapolis IN 46222-1146 Ph: (317) 291-7422 |
| NPI Number | 1982242327 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982242327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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