Indiana Health Centers, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Logansport, IN. Organization (NPI-2).
NPI number1154862829
StatusActive
Last updated in NPPESMar 17, 2023
Details
- NPI
- 1154862829
- Entity type
- Organization (NPI-2)
- Legal business name
- Indiana Health Centers, INC
- Organization subpart
- No
- Enumeration date
- Mar 15, 2017
- Certification date
- Mar 17, 2023
- Last updated
- Mar 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Ihc At Four County (Doing Business As)
Practice location
421 12th StreetLogansport, IN 46947-3539
Phone 574-722-7407 · Fax 844-397-1308
Mailing address
8003 Castleway DrIndianapolis, IN 46250-1946
Phone 317-576-1335 · Fax 317-576-1339
Authorized official
Tracy J Nagel
Cfo
3175761335
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