Organization
SHALOM HEALTH CARE CENTER, INC.
Active
Organization
SHALOM HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARDO R ORTEGA MD, MPH (EXECUTIVE DIRECTOR)
(317) 291-7422
Entity
Organization
Contact information
Practice address
3400 LAFAYETTE RD, SUTIE 200, INDIANAPOLIS, IN 46222-1146
(317) 291-7422
(317) 291-7433
Mailing address
3400 LAFAYETTE RD, SUTIE 200, INDIANAPOLIS, IN 46222-1146
(317) 291-7422
(317) 291-7433
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/08/2005
Last updated
01/22/2021
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