| NPI | 1003275512 |
|---|---|
| Doing Business As | SHALOM 56TH STREET-NEW ACCESS POINT |
| Entity Type | Organization |
| Authorized Contact | LEONARDO R ORTEGA CEO/Executive Director 317-291-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2021-01-22 |