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 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154862829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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