Organization
INDIANA HEALTH CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY J NAGEL (CFO)
(317) 576-1335
Entity
Organization
Contact information
Practice address
1102 FELLOWS ST, SOUTH BEND, IN 46601-3514
(574) 234-9033
(574) 234-9059
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
(317) 573-1339
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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