| NPI | 1366181042 |
|---|---|
| Other Name | ESKENAZI HEALTH CENTER NORTHWEST MIDDLE SCHOOL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SCOTT Supervisor, Provider Enrollment 317-880-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-09-05 |