| NPI | 1598776742 |
|---|---|
| Doing Business As | INDIANA HEALTH CENTERS SOUTH BEND AT OAKLAWN |
| Entity Type | Organization |
| Authorized Contact | TRACY NAGEL CFO 317-576-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 100223780) |
| 207Q00000X Family Medicine (Licence: IN 200443050) | |
| 207R00000X Internal Medicine (Licence: IN 200527220) | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01023827A) | |
| 208000000X Pediatrics (Licence: IN 200284500A) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-11-10 |