Organization
INDIANA HEALTH CENTERS, INC.
Active
Other names
Community Health Center of Jackson County
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRANCE J. DRAKE M.D., F.A.A.P. (CHIEF MEDICAL OFFICER (CMO))
(317) 576-1335
Entity
Organization
Contact information
Practice address
113 N CHESTNUT ST, SEYMOUR, IN 47274-2176
(812) 524-8388
(812) 524-8330
Mailing address
113 N CHESTNUT ST, SEYMOUR, IN 47274-2176
(812) 524-8388
(812) 524-8330
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071250 I
—
IN
Enumeration date
09/20/2006
Last updated
03/17/2023
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