HEALTHNET INC. NPI 1780634964

NPI Information

HEALTHNET, INC. is a federally qualified health center (fqhc) clinic center in Indianapolis, IN. HEALTHNET, INC. NPI is 1780634964. The provider is registered as an organization entity type.

The provider's business location address is:

2855 N KEYSTONE AVE
STE 100
INDIANAPOLIS, IN
ZIP 46218-790
Phone: (317) 957-2300
Fax: (317) 957-2320

The provider's authorized official is Ricardo Diaz .
The authorized official title is Chief Executive Officer and has the following contact phone number (317) 957-2000.

The CLIA number assigned to this NPI record is 15D2264535 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 12/16/2016.

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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