Organization · Type 2 NPI

Indiana Health Centers, Inc.

Federally Qualified Health Center (FQHC) · South Bend, IN

NPI number 1174626014 Active

Practice location

1901 W Western Ave, Ste B
South Bend, IN 46619-3521

Call (574) 234-9033 Map

Fax (574) 847-7200

Mailing address

8003 Castleway Dr
Indianapolis, IN 46250-1946

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics Physician 207VX0000XNone listed
Pediatrics Physician 208000000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1174626014

Indiana Health Centers, Inc.'s National Provider Identifier is 1174626014, issued on Sep 6, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in South Bend, IN. The record was last updated on Mar 17, 2023.