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NPI Code Detail

MEDICARE: RIGGS COMMUNITY HEALTH CENTER INC

MEDICARE: RIGGS COMMUNITY HEALTH CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386660900
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIGGS COMMUNITY HEALTH CENTER INC
Provider Business Mailing Address
First Line : 1716 HARTFORD ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2138
Country : US
Telephone Number : 765-742-1567
Fax Number : 765-429-2700
Provider Business Practice Location Address
First Line : 1716 HARTFORD ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2138
Country : US
Telephone Number : 765-742-1567
Fax Number : 765-742-2750
Authorized Official
Title or Position : PRESIDENT & CEO
Name : DR. BAMBI MCQUADE-JONES
Credential :
Telephone Number : 765-742-1567
Provider Enumeration Date : 07/15/2006
Last Update Date : 07/21/2022

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Directions to “RIGGS COMMUNITY HEALTH CENTER INC ” Practice Location

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