INDIANA HEALTH CENTERS INC NPI 1912327693

NPI Information

INDIANA HEALTH CENTERS, INC is a federally qualified health center (fqhc) clinic center in South Bend, IN. INDIANA HEALTH CENTERS, INC NPI is 1912327693. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Bend At Oaklawn.

The provider's business location address is:

415 E MADISON ST
SOUTH BEND, IN
ZIP 46617-322
Phone: (574) 234-9033
Fax: (574) 234-9059

The provider's authorized official is Tracy J Nagel .
The authorized official title is Cfo and has the following contact phone number (317) 576-1335.

The enumeration date for this NPI number is 4/22/2014 and was last updated on 3/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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