INDIANA HEALTH CENTERS INC. NPI 1619087624

NPI Information

  • NPI: 1619087624
  • Provider Name: INDIANA HEALTH CENTERS, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • :
  • Address: 3710 S WESTERN AVE
    MARION, IN
    ZIP 46953
  • Phone: (765) 664-7492

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NPI Details

INDIANA HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Marion, IN. INDIANA HEALTH CENTERS, INC. NPI is 1619087624. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

3710 S WESTERN AVE
MARION, IN
ZIP 46953-827
Phone: (765) 664-7492
Fax: (765) 400-4466

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

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/24/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineNo
3208000000XPediatricsNo
4101YM0800XCounselorMental HealthNo
5363LF0000XNurse PractitionerFamilyNo
6261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100071250 BMEDICAIDINDIANA

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: 11/21/2025

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