INDIANA HEALTH CENTERS INC. NPI 1811007800

NPI Information

  • NPI: 1811007800
  • Provider Name: INDIANA HEALTH CENTERS, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: INDIANA HEALTH CENTERS @ KOKOMO
  • Address: 3118 S LAFOUNTAIN ST
    KOKOMO, IN
    ZIP 46902
  • Phone: (765) 864-4160

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NPI Details

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 License Number License State Primary
1122300000XDentistNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4208000000XPediatricsNo
5363LF0000XNurse PractitionerFamilyNo
6261QF0400XClinic/CenterFederally 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
1100071250 AMEDICAIDINDIANA

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: 3/30/2025

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