South Bend At Oaklawn
LBN: Indiana Health Centers, Inc
South Bend At Oaklawn is an health care organization with primary practice located at 415 E Madison St , South Bend IN 46617-2322. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, 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 (574) 234-9033, or through Nagel, Tracy J via phone (317) 576-1335.
Contact Information
Primary practice address
415 E Madison St
South Bend IN 46617-2322
Phone: (574) 234-9033
Fax: (574) 234-9059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1912327693 |
|---|---|
| LBN Legal business name | Indiana Health Centers, Inc |
| DBA Doing business as | South Bend At Oaklawn |
| Authorized official | Nagel, Tracy J |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 22nd, 2014 |
| 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 | 1912327693 | NPPES |
| Indiana | MEDICAID | 100071250 |
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