| Eskenazi Health Center Northwest Middle School | |
|
5525 W 34th St Indianapolis IN 46224-1301 | |
| (317) 880-3535 | |
| Not Available |
| Full Name | Eskenazi Health Center Northwest Middle School |
|---|---|
| Speciality | Clinic/Center |
| Location | 5525 W 34th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Christopher Scott (SUPERVISOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 3178804440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eskenazi Health Center Northwest Middle School 720 Eskenazi Ave Fifth Third Bank Bldg, 5th Fl Indianapolis IN 46202-5166 Ph: (317) 880-3818 | Eskenazi Health Center Northwest Middle School 5525 W 34th St Indianapolis IN 46224-1301 Ph: (317) 880-3535 |
| NPI Number | 1366181042 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 09/05/2023 |
| Medicare PECOS PAC ID | 6709795974 |
|---|---|
| Medicare Enrollment ID | O20221004000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366181042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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