INDIANA HEALTH CENTERS INC. NPI 1811007800

NPI Information

NPI: 1811007800
Provider Name: INDIANA HEALTH CENTERS, INC.

Other Name: INDIANA HEALTH CENTERS @ KOKOMO

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3118 S LAFOUNTAIN ST
KOKOMO, IN
ZIP 46902
Phone: (765) 864-4160
Get Directions

INDIANA HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Kokomo, IN. INDIANA HEALTH CENTERS, INC. NPI is 1811007800. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Indiana Health Centers @ Kokomo.

The provider's business location address is:

3118 S LAFOUNTAIN ST
KOKOMO, IN
ZIP 46902-710
Phone: (765) 864-4160
Fax: (765) 400-4467

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	Primary
1	122300000X	Dentist		No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	208000000X	Pediatrics		No
5	363LF0000X	Nurse Practitioner	Family	No
6	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 A	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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