| NPI | 1881383420 |
|---|---|
| Other Name | RAPHAEL HEALTH CENTER - SALVATION ARMY |
| Entity Type | Organization |
| Authorized Contact | PAUL M UTTERBACK CFO 317-226-4248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QM2500X Clinic/Center Medical Specialty | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-07-10 |