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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