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Organization

INDIANA HEALTH CENTERS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRANCE J. DRAKE M.D., F.A.A.P (CHIEF MEDICAL OFFICER)
(317) 576-1335
Entity
Organization

Contact information

Practice address
TIPTON COUNTY WIC PROGRAM, 119 WEST WASHINGTON STREET, TIPTON, IN 46072
(765) 675-8494
Mailing address
INDIANA HEALTH CENTERS, INC., 8003 CASTLEWAY DRIVE, INDIANAPOLIS, IN 46250
(317) 576-1335
(317) 576-1339

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
05/09/2007
Last updated
12/02/2009
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