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:
Map and Directions
Authorized official contact:
Name: Dale, Michael
Phone: (317) 934-0755

Health care specialties

SpecialtyCodeLicense #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 3 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 1730488818 NPPES
Indiana MEDICAID 201026910

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