Organization
ESKENAZI HEALTH FOUNDATION INC
Active
Organization
ESKENAZI HEALTH FOUNDATION INC
Active
Other names
Eskenazi Health Center Community (FQHC)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KUNZER MD (PEDIATRICIAN)
(317) 880-8211
Entity
Organization
Contact information
Practice address
1434 SHELBY ST, INDIANAPOLIS, IN 46203-1945
(317) 655-3200
Mailing address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5166
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
12012361A
IN
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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