| Neighborhood Health Clinics, Inc. | |
|
1717 S Calhoun St Fort Wayne IN 46802-5257 | |
| (260) 458-2641 | |
| (260) 458-3093 |
| Full Name | Neighborhood Health Clinics, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1717 S Calhoun St, Fort Wayne, Indiana |
| Authorized Official Name and Position | Angela M Zaegel (PRESIDENT/CEO) |
| Authorized Official Contact | 2604582646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Health Clinics, Inc. 1717 S Calhoun St Fort Wayne IN 46802-5257 Ph: (260) 458-2641 | Neighborhood Health Clinics, Inc. 1717 S Calhoun St Fort Wayne IN 46802-5257 Ph: (260) 458-2641 |
| NPI Number | 1639566110 |
|---|---|
| Provider Enumeration Date | 04/22/2015 |
| Last Update Date | 09/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639566110 | NPI | - | NPPES |
| 100050750 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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