Indiana Health Centers Inc

LBN: Indiana Health Centers Inc
Indiana Health Centers Inc is an health care organization with primary practice located at 8003 Castleway Dr , Indianapolis IN 46250. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Indiana Health Centers Inc can be contacted via phone (317) 576-1335, or through Drake, Terrance J. via phone (317) 576-1335.

Contact Information

Primary practice address
8003 Castleway Dr Indianapolis IN 46250
Phone: (317) 576-1335
Fax: (317) 576-1339
Website:
Map and Directions
Authorized official contact:
Name: Drake, Terrance J. M.D., F.A.A.P.
Phone: (317) 576-1335

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Indiana

Profile Details

NPI number 1942303086
LBN Legal business name Indiana Health Centers Inc
DBA Doing business as
Authorized official Drake, Terrance J. M.D., F.A.A.P.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Dec 2nd, 2009 - about 16 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 1942303086 NPPES
Indiana MEDICAID 100071250

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