Healthcare Provider Details

I. General information

NPI: 1548291222
Provider Name (Legal Business Name): NEIGHBORHOOD HEALTH CLINICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 S CALHOUN ST
FORT WAYNE IN
46802-5257
US

IV. Provider business mailing address

PO BOX 11949
FORT WAYNE IN
46862-1949
US

V. Phone/Fax

Practice location:
  • Phone: 260-458-2641
  • Fax: 260-458-3093
Mailing address:
  • Phone: 260-458-2641
  • Fax: 260-458-3093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELA M ZAEGEL
Title or Position: CEO
Credential:
Phone: 260-458-2646