Indiana Health Centers South Bend At Oaklawn

LBN: Indiana Health Centers, Inc.
Indiana Health Centers South Bend At Oaklawn is an health care organization with primary practice located at 8003 Castleway Dr , Indianapolis IN 46250-1946. The organization recently has 6 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 & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Indiana Health Centers, Inc. can be contacted via phone (317) 576-1335, or through Nagel, Tracy via phone (317) 576-1335.

Contact Information

Primary practice address
8003 Castleway Dr Indianapolis IN 46250-1946
Phone: (317) 576-1335
Fax: (317) 576-1339
Website:
Map and Directions
Authorized official contact:
Name: Nagel, Tracy
Phone: (317) 576-1335

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 100223780 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200443050 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200527220 Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01023827A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200284500A Indiana
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1598776742
LBN Legal business name Indiana Health Centers, Inc.
DBA Doing business as Indiana Health Centers South Bend At Oaklawn
Authorized official Nagel, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Nov 10th, 2020 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598776742 NPPES
Indiana MEDICAID 1000071250

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