Organization · Type 2 NPI

Trustees of Purdue University

Federally Qualified Health Center (FQHC) · Burlington, IN

NPI number 1295104669 Active

Practice location

425 E 5th Street, Suite B
Burlington, IN 46915

Call (765) 564-3016 Map

Fax (765) 564-2608

Mailing address

901 Prince William Rd, Suite A
Delphi, IN 46923-1758

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

NPI record

NPI: 1295104669
Entity type: Organization (Type 2)
Issued: Sep 16, 2015
Last updated: Apr 18, 2022
Status: Active

Other names

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Family Health Clinic of Burlington · doing business as
Family Health Clinic of Burlington · doing business as

Authorized official

Mr. Daniel J Layman
Executive Director
(765) 564-3016

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About NPI 1295104669

Trustees of Purdue University's National Provider Identifier is 1295104669, issued on Sep 16, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Burlington, IN. The record was last updated on Apr 18, 2022.