INDIANA HEALTH CENTERS, INC (NPI# 1336373190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336373190 |
| Entity Type | Organization |
| Organization Name | INDIANA HEALTH CENTERS, INC |
| Other Organization Name | COMMUNITY HEALTH CENTER OF MIAMI COUNTY |
| Practice Address |
661 E Main St Peru IN 46970-2662 |
| Mailing Address |
8003 Castleway Dr Indianapolis IN 46250-1946 |
| Practice Telephone | 7654722519 |
| Practice Fax Number | 8443971309 |
| Mailing Telephone | 3175761335 |
| Mailing Fax Number | 3175761339 |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2017-02-01 |
| Authorized Official Name | MR. TRACY J NAGEL (CFO) |
| Authorized Official Telephone | 3175761335 |
| Is Organization Subpart | Y |
| Parent Organization Name | INDIANA HEALTH CENTERS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
000000000 | IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Health Center of Miami County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862829 | Indiana Health Centers, Inc | Family Medicine | 421 12th Street, Logansport, IN 46947-3539 | 2017-03-15 |
| 1558629634 | Indiana Health Centers, Inc | Clinic/Center | 1102 Fellows St, South Bend, IN 46601-3514 | 2012-04-26 |
| 1649559196 | Indiana Health Centers, Inc | Family Medicine | 121 Locust Ln, Nashville, IN 47448-7021 | 2011-08-15 |
| 1376143198 | Indiana Health Centers, Inc | Family Medicine | 401 E 8th St Ste A, Rochester, IN 46975-1444 | 2020-10-30 |
| 1609315829 | Indiana Health Centers, Inc | Family Medicine | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2017-02-21 |
| 1780065672 | Indiana Health Centers, Inc | Family Medicine | 1010 N Bendix Dr, South Bend, IN 46628-1925 | 2015-06-16 |
| 1215343389 | Indiana Health Centers, Inc | Family Medicine | 206 W 8th St, Marion, IN 46953-1921 | 2014-07-09 |
| 1124434469 | Indiana Health Centers, Inc | Family Medicine | 120 Saint Louis Ave, Seymour, IN 47274-2304 | 2014-07-08 |
| 1912327693 | Indiana Health Centers, Inc | Family Medicine | 415 E Madison St, South Bend, IN 46617-2322 | 2014-04-22 |
| 1598776742 | Indiana Health Centers, Inc | Dentist | 415 E Madison St, South Bend, IN 46617-2322 | 2006-08-11 |
| Street Address |
661 E MAIN ST |
| City | PERU |
| State | IN |
| Zip Code | 46970-2662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625926 | Jay Lee Hoeksema | Nurse Practitioner | 661 E Main St, Peru, IN 46970-2662 | 2020-10-05 |
| 1881077931 | Olivia Hayes | Registered Nurse | 661 E Main St, Peru, IN 46970-2662 | 2015-07-08 |
| 1194031054 | Hammad Liaquat | Internal Medicine | 661 E Main St, Peru, IN 46970-2662 | 2010-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.