| Indiana Health Center @ South Bend | |
|
1901 W Western Ave, Ste B South Bend IN 46619-3521 | |
| (574) 234-9033 | |
| (574) 847-7200 |
| Full Name | Indiana Health Center @ South Bend |
|---|---|
| Speciality | Clinic/Center |
| Location | 1901 W Western Ave, Ste B, South Bend, Indiana |
| Authorized Official Name and Position | Tracy Nagel (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3175761335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Health Center @ South Bend 8003 Castleway Dr Indianapolis IN 46250-1946 Ph: (317) 576-1335 | Indiana Health Center @ South Bend 1901 W Western Ave, Ste B South Bend IN 46619-3521 Ph: (574) 234-9033 |
| NPI Number | 1174626014 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 03/17/2023 |
| Medicare PECOS PAC ID | 3971599473 |
|---|---|
| Medicare Enrollment ID | O20061114000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174626014 | NPI | - | NPPES |
| 100071250 C | Medicaid | IN |
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