NPI | 1811007800 |
---|---|
Other Name | INDIANA HEALTH CENTERS @ KOKOMO |
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 | 122300000X Dentist |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-03-17 |