Organization
INDIANA HEALTH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE DRAKE M.D. (CHIEF MEDICAL OFFICER)
(317) 576-1335
Entity
Organization
Contact information
Practice address
3118 S LAFOUNTAIN ST, KOKOMO, IN 46902-3710
(765) 864-4160
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
28171905A
IN
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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