| Ihc at Four County | |
|
421 12th Street Logansport IN 46947-3539 | |
| (574) 722-7407 | |
| (844) 397-1308 |
| Full Name | Ihc at Four County |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 421 12th Street, Logansport, Indiana |
| Authorized Official Name and Position | Tracy J Nagel (CFO) |
| Authorized Official Contact | 3175761335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ihc at Four County 8003 Castleway Dr Indianapolis IN 46250-1946 Ph: (317) 576-1335 | Ihc at Four County 421 12th Street Logansport IN 46947-3539 Ph: (574) 722-7407 |
| NPI Number | 1154862829 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 03/17/2023 |
| Certification Date | 03/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154862829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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