Indiana Health Centers @ Kokomo
LBN: Indiana Health Centers, Inc.
Indiana Health Centers @ Kokomo is an health care organization with primary practice located at 3118 S Lafountain St , Kokomo IN 46902-3710. 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 / 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 (765) 864-4160, or through Nagel, Tracy via phone (317) 576-1335.
Contact Information
Primary practice address
3118 S Lafountain St
Kokomo IN 46902-3710
Phone: (765) 864-4160
Fax: (765) 400-4467
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 / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1811007800 |
|---|---|
| LBN Legal business name | Indiana Health Centers, Inc. |
| DBA Doing business as | Indiana Health Centers @ Kokomo |
| Authorized official | Nagel, Tracy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 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 | 1811007800 | NPPES |
| Indiana | MEDICAID | 100071250 A |
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