NPI | 1093427999 |
---|---|
Doing Business As | IHC BEDFORD |
Entity Type | Organization |
Authorized Contact | TRACY NAGEL CFO 317-576-1335 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2022-12-22 |
Last Update Date | 2022-12-22 |