Organization
NEIGHBORHOOD HEALTH CLINICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CICELY MCCOWAN (REVENUE CYCLE MANAGER)
(260) 458-2641
Entity
Organization
Contact information
Practice address
3501 WARSAW ST, FORT WAYNE, IN 46806-4175
(260) 458-2641
Mailing address
PO BOX 11949, FORT WAYNE, IN 46862-1949
(260) 458-2641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
03/19/2025
Last updated
09/19/2025
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