| NPI | 1154862829 |
|---|---|
| Doing Business As | IHC AT FOUR COUNTY |
| 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) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2023-03-17 |