Organization
SHALOM HEALTH CARE CENTER, INC.
Active
Organization
SHALOM HEALTH CARE CENTER, INC.
Active
Parent organization
MOBILE UNIT
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOBILE UNIT
Authorized official
DR. LEONARDO R ORTEGA MD, MPH (CEO)
(317) 291-7422
Entity
Organization
Contact information
Practice address
3400 LAFAYETTE RD, MOBILE UNIT, INDIANAPOLIS, IN 46222-1146
(317) 291-7422
Mailing address
3400 LAFAYETTE RD, INDIANAPOLIS, IN 46222-1146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
12/17/2019
Last updated
03/30/2026
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