| NPI | 1306957311 |
|---|---|
| Doing Business As | IHC AT MICHIGAN ST |
| 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 | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-01-08 |