Shalom Health Care Center, Inc.

LBN: Shalom Health Care Center, Inc.
Shalom Health Care Center, Inc. is an health care organization with primary practice located at 3400 Lafayette Road Suite 200, Indianapolis IN 46222-1147. 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. Shalom Health Care Center, Inc. can be contacted via phone (317) 291-7422, or through Ortega, Leonardo R via phone (317) 291-7422.

Contact Information

Primary practice address
3400 Lafayette Road Suite 200 Indianapolis IN 46222-1147
Phone: (317) 291-7422
Fax: (317) 291-7433
Website:
Map and Directions
Authorized official contact:
Name: Ortega, Leonardo R M.D., M.P.H.
Phone: (317) 291-7422

Health care specialties

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

Profile Details

NPI number 1992924633
LBN Legal business name Shalom Health Care Center, Inc.
DBA Doing business as
Authorized official Ortega, Leonardo R M.D., M.P.H.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Jan 22nd, 2021 - 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 1992924633 NPPES
Indiana MEDICAID 200392480

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