Organization
INDIANA HEALTH CENTERS, INC.
Active
Organization
INDIANA HEALTH CENTERS, INC.
Active
Other names
IHC at Michigan St
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY NAGEL (CHIEF FINANCIAL OFFICER)
(317) 576-1335
Entity
Organization
Contact information
Practice address
765 S MICHIGAN ST, SOUTH BEND, IN 46601-3101
(574) 235-7990
(574) 847-7200
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
(317) 576-1339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
01/08/2024
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