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Organization
INDIANA HEALTH CENTERS, INC.
Active
Organization
INDIANA HEALTH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRANCE J. DRAKE M.D., F.A.A.P (CHIEF MEDICAL OFFICER)
(317) 576-1335
Entity
Organization
Contact information
Practice address
TIPTON COUNTY WIC PROGRAM, 119 WEST WASHINGTON STREET, TIPTON, IN 46072
(765) 675-8494
Mailing address
INDIANA HEALTH CENTERS, INC., 8003 CASTLEWAY DRIVE, INDIANAPOLIS, IN 46250
(317) 576-1335
(317) 576-1339
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
05/09/2007
Last updated
12/02/2009
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