| NPI | 1124434469 |
|---|---|
| Doing Business As | CHCJC ANNEX |
| Entity Type | Organization |
| Authorized Contact | TRACY J NAGEL CFO 317-576-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2023-03-17 |