Shalom 56th Street-new Access Point - Medicare Primary Care in Indianapolis, IN

Shalom 56th Street-new Access Point is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Indianapolis, Indiana. The current practice location for Shalom 56th Street-new Access Point is 5750 W 56th St, Indianapolis, Indiana. For appointments, you can reach them via phone at (317) 291-7422. The mailing address for Shalom 56th Street-new Access Point is 3400 Lafayette Rd Ste 200, Indianapolis, Indiana and phone number is (317) 291-7422.

Shalom 56th Street-new Access Point is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003275512. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (317) 291-7422.

Contact Information

Shalom 56th Street-new Access Point
5750 W 56th St
Indianapolis
IN 46254-1695
(317) 291-7422
(317) 291-4912

Primary Care Clinic Profile

Full NameShalom 56th Street-new Access Point
SpecialityClinic/Center
Location5750 W 56th St, Indianapolis, Indiana
Authorized Official Name and PositionLeonardo R Ortega (CEO/EXECUTIVE DIRECTOR)
Authorized Official Contact3172917422
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shalom 56th Street-new Access Point
3400 Lafayette Rd Ste 200
Indianapolis
IN 46222-1147

Ph: (317) 291-7422
Shalom 56th Street-new Access Point
5750 W 56th St
Indianapolis
IN 46254-1695

Ph: (317) 291-7422

NPI Details:

NPI Number1003275512
Provider Enumeration Date02/12/2016
Last Update Date01/22/2021

Medicare PECOS Information:

Medicare PECOS PAC ID3779471750
Medicare Enrollment IDO20160215000849

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Medical Identifiers

Medical identifiers for Shalom 56th Street-new Access Point such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003275512NPI-NPPES
200392480JMedicaidIN
200392480MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0200XNurse Practitioner - Pediatrics (* (Not Available))Secondary

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