Jane Pauley Community Health Center Inc
LBN: Jane Pauley Community Health Center Inc
Jane Pauley Community Health Center Inc is an health care organization with primary practice located at 1503 N Mitthoeffer Rd Ste 150 , Indianapolis IN 46229-2425. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Jane Pauley Community Health Center Inc can be contacted via phone (317) 934-0755, or through Dale, Michael via phone (317) 934-0755.
Contact Information
Primary practice address
1503 N Mitthoeffer Rd Ste 150
Indianapolis IN 46229-2425
Phone: (317) 934-0755
Fax: (317) 469-1662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1730488818 |
|---|---|
| LBN Legal business name | Jane Pauley Community Health Center Inc |
| DBA Doing business as | |
| Authorized official | Dale, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2011 |
| Last updated | Jan 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730488818 | NPPES |
| Indiana | MEDICAID | 201026910 |
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