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NPI Code Detail

MEDICARE: INDIANA HEALTH CENTERS, INC

MEDICARE: INDIANA HEALTH CENTERS, 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
1207Q00000XFamily Medicine Physician
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1609315829
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDIANA HEALTH CENTERS, INC
Provider Business Mailing Address
First Line : 8003 CASTLEWAY DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-1946
Country : US
Telephone Number : 317-576-1335
Fax Number : 317-576-1339
Provider Business Practice Location Address
First Line : 35 BOB BABBS DR
Second Line :
City : SPENCER
State : IN
Zip : 47460-6828
Country : US
Telephone Number : 812-652-1700
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. TRACY J NAGEL
Credential :
Telephone Number : 317-576-1335
Provider Enumeration Date : 02/21/2017
Last Update Date : 05/27/2025

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Directions to “INDIANA HEALTH CENTERS, INC ” Practice Location

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