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8921 Southpointe Dr Ste A1 Indianapolis IN 46227-1085 | |
(317) 884-7820 | |
(317) 888-8851 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 8921 Southpointe Dr Ste A1, Indianapolis, Indiana |
Authorized Official Name and Position | Scott K Rollett (CEO) |
Authorized Official Contact | 3177394895 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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14 Trafalgar Sq Trafalgar IN 46181-9515 Ph: (317) 739-4895 | 8921 Southpointe Dr Ste A1 Indianapolis IN 46227-1085 Ph: (317) 884-7820 |
NPI Number | 1437439510 |
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Provider Enumeration Date | 08/22/2011 |
Last Update Date | 05/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437439510 | NPI | - | NPPES |
200127470E | 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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