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INDIANA HEALTH CENTERS INC. NPI 1306957311


NPI Information

NPI: 1306957311
Provider Name: INDIANA HEALTH CENTERS, INC.

Other Name: PROJECT HOMECOMING

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
701 S MAIN ST
SOUTH BEND, IN
ZIP 46601
Phone: (574) 235-7990
Get Directions

INDIANA HEALTH CENTERS, INC. is a family medicine in South Bend, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INDIANA HEALTH CENTERS, INC. NPI is 1306957311. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Project Homecoming.

The provider's business location address is:

701 S MAIN ST
SOUTH BEND, IN
ZIP 46601-000
Phone: (574) 235-7990
Fax: (574) 239-4959

The provider's authorized official is Terrance J. Drake .
The authorized official title is Chief Medical Officer (cmo) and has the following contact phone number (317) 576-1335.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 12/2/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
115-1808MEDICARE ID-TYPE UNSPECIFIEDINDIANAMEDICARE GROUP NUMBER
2100071250 EMEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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