| NPI | 1215343389 |
|---|---|
| Doing Business As | IHC GRANT-BLACKFORD |
| 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 | 2014-07-09 |
| Last Update Date | 2023-07-07 |