Shalom Health Care Center, Inc. | |
3400 Lafayette Road Suite 200 Indianapolis IN 46222-1147 | |
(317) 291-7422 | |
(317) 291-7433 |
Full Name | Shalom Health Care Center, Inc. |
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Speciality | Clinic/Center |
Location | 3400 Lafayette Road, Indianapolis, Indiana |
Authorized Official Name and Position | Leonardo R Ortega (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3172917422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shalom Health Care Center, Inc. 3400 Lafayette Road Suite 200 Indianapolis IN 46222-1147 Ph: (317) 291-7422 | Shalom Health Care Center, Inc. 3400 Lafayette Road Suite 200 Indianapolis IN 46222-1147 Ph: (317) 291-7422 |
NPI Number | 1992924633 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 01/22/2021 |
Medicare PECOS PAC ID | 3779471750 |
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Medicare Enrollment ID | O20040310000486 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992924633 | NPI | - | NPPES |
200392480 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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