| Indiana Health Centers, Inc. | |
|
1700 Dividend Dr Logansport IN 46947-1572 | |
| (574) 722-7407 | |
| (574) 847-7203 |
| Full Name | Indiana Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 Dividend Dr, Logansport, 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 Centers, Inc. 8003 Castleway Dr Indianapolis IN 46250-1946 Ph: (317) 576-1335 | Indiana Health Centers, Inc. 1700 Dividend Dr Logansport IN 46947-1572 Ph: (574) 722-7407 |
| NPI Number | 1669582664 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 03/17/2023 |
| Medicare PECOS PAC ID | 3971599473 |
|---|---|
| Medicare Enrollment ID | O20061115000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669582664 | NPI | - | NPPES |
| 100071250 H | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Unity Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 High St, Logansport, IN 46947 Phone: 574-732-2552 Fax: 574-732-0046 | |
Indiana Health Centers, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 12th Street, Logansport, IN 46947 Phone: 574-722-7407 Fax: 844-397-1308 | |
Four County Comprehensive Mental Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-732-2468 Fax: 574-739-1414 | |
Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 Michigan Ave Ste 270, Logansport, IN 46947 Phone: 574-722-4921 Fax: 574-739-0520 | |
Logansport Family Health Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Michigan Avenue, Suite 270, Logansport, IN 46947 Phone: 574-722-4921 Fax: 574-739-0520 | |
American Health Network Of Indiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 E Dewey St, Logansport, IN 46947 Phone: 574-737-8634 Fax: 574-217-4825 |