| NPI | 1629949904 |
|---|---|
| Doing Business As | SHELLEY COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LUCILLE KOEHL VP 317-755-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |