INDIANA HEALTH CENTERS INC. NPI 1669582664

NPI Information

NPI: 1669582664
Provider Name: INDIANA HEALTH CENTERS, INC.

Other Name: CASS COUNTY COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1700 DIVIDEND DR
LOGANSPORT, IN
ZIP 46947
Phone: (574) 722-7407
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INDIANA HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Logansport, IN. INDIANA HEALTH CENTERS, INC. NPI is 1669582664. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cass County Community Health Center.

The provider's business location address is:

1700 DIVIDEND DR
LOGANSPORT, IN
ZIP 46947-572
Phone: (574) 722-7407
Fax: (574) 847-7203

The provider's authorized official is Tracy Nagel .
The authorized official title is Chief Financial Officer and has the following contact phone number (317) 576-1335.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100071250 H	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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