| NPI | 1174626014 |
|---|---|
| Other Name | INDIANA HEALTH CENTER @ SOUTH BEND |
| Entity Type | Organization |
| Authorized Contact | TRACY NAGEL Chief Financial Officer 317-576-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-03-17 |