Indiana Health Center @ South Bend
LBN: Indiana Health Centers, Inc.
Indiana Health Center @ South Bend is an health care organization with primary practice located at 1901 W Western Ave, Ste B , South Bend IN 46619-3521. The organization recently has 7 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Indiana Health Centers, Inc. can be contacted via phone (574) 234-9033, or through Nagel, Tracy via phone (317) 576-1335.
Contact Information
Primary practice address
1901 W Western Ave, Ste B
South Bend IN 46619-3521
Phone: (574) 234-9033
Fax: (574) 847-7200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1174626014 |
|---|---|
| LBN Legal business name | Indiana Health Centers, Inc. |
| DBA Doing business as | Indiana Health Center @ South Bend |
| Authorized official | Nagel, Tracy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Mar 17th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174626014 | NPPES |
| Indiana | MEDICAID | 100071250 C |
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