ESKENAZI HEALTH FOUNDATION INC (NPI# 1124401856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124401856 |
| Entity Type | Organization |
| Organization Name | ESKENAZI HEALTH FOUNDATION INC |
| Other Organization Name | ESKENAZI HEALTH CENTER COMMUNITY (FQHC) |
| Practice Address |
1434 Shelby St Indianapolis IN 46203-1945 |
| Mailing Address |
720 Eskenazi Ave Indianapolis IN 46202-5166 |
| Practice Telephone | 3176553200 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | DR. JOHN KUNZER (PEDIATRICIAN) |
| Authorized Official Telephone | 3178808211 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
12012361A | IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Eskenazi Health Center Community (FQHC) | Doing Business As Name - Organization |
| Street Address |
1434 SHELBY ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46203-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023076130 | Frances L Gray | Pediatrics | 1434 Shelby St, Indianapolis, IN 46203-1945 | 2006-05-01 |
| 1679130975 | Brittany Dewbrew-hale | Social Worker | 1434 Shelby St, Indianapolis, IN 46203-1945 | 2019-05-22 |
| 1770959363 | Lacey Dabelow | Social Worker | 1434 Shelby St, Indianapolis, IN 46203-1945 | 2015-08-18 |
| 1457734915 | Joy Troxel | Dentist | 1434 Shelby St, Indianapolis, IN 46203-1945 | 2015-07-02 |
| 1972926475 | Laura Jefferson | Social Worker | 1434 Shelby St, Indianapolis, IN 46203-1945 | 2014-02-04 |
| 1902148489 | Ryan James Stegink | Pediatrics | 1434 Shelby St, Indianapolis, IN 46203-1945 | 2013-03-21 |
| 1023357472 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1434 Shelby St, Indianapolis, IN 46203-1945 | 2013-02-05 |
| 1659672723 | Connie Michelle Hunt-greer | Dentist | 1434 Shelby St, Indianapolis, IN 46203-1945 | 2010-11-05 |
| 1215248091 | Lindsay Leigh Reason | Dietitian, Registered | 1434 Shelby St, Indianapolis, IN 46203-1945 | 2010-06-28 |
| 1134352404 | Richard Morris Hobbs | Social Worker | 1434 Shelby St, Indianapolis, IN 46203-1945 | 2009-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362665 | Yvonne Irene Wince | Pharmacist | 608 Twin Aire Dr, Indianapolis, IN 46203 | 2019-12-04 |
| 1730635681 | Kensie Waller | Registered Nurse | 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203 | 2016-08-31 |
| 1629285820 | 21st Century Charter School At Fountain Square | Local Education Agency (LEA) | 1615 South Barth Ave, Indianapolis, IN 46203 | 2007-05-17 |
| 1912124918 | Richard Walter James | Chiropractor | 3850 S Emerson, Suite F, Indianapolis, IN 46203 | 2007-04-19 |
| 1245386655 | Gary Richard Billingsley | Chiropractor | 4940 S Emerson Ave, Indianapolis, IN 46203 | 2007-01-26 |
| 1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
| 1245324755 | Rtc Resource Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-02 |
| 1548776925 | Erin Tofani | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2017-12-20 |
| 1114464575 | Abigail G Boris | Registered Nurse | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2017-01-24 |
| 1285184481 | Kelli Joy Bovenkerk | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2016-10-12 |
| Find all providers in zip 46203 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188217 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1112 Southeastern Ave, Indianapolis, IN 46202-3947 | 2020-03-11 |
| 1639581069 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1650 N College Ave Ste B, Indianapolis, IN 46202-1715 | 2014-05-20 |
| 1093054447 | The Health and Hospital Corporation of Marion County | Clinic/Center | 6940 Michigan Rd Ste 135, Indianapolis, IN 46268-2800 | 2013-02-05 |
| 1831438282 | The Health and Hospital Corporation of Marion County | Clinic/Center | 3840 N Sherman Dr Ste 150, Indianapolis, IN 46226-4462 | 2013-02-05 |
| 1437439510 | Windrose Health Network, Inc. | Clinic/Center | 8404 Siear Ter Ste 208, Indianapolis, IN 46227-7201 | 2011-08-22 |
| 1992924633 | Shalom Health Care Center, Inc. | Clinic/Center | 3400 Lafayette Road, Suite 200, Indianapolis, IN 46222-1147 | 2007-04-24 |
| 1942303086 | Indiana Health Centers Inc | Clinic/Center | 8003 Castleway Dr, Indianapolis, IN 46250 | 2006-09-06 |
| 1538167036 | Shalom Health Care Center, Inc. | Clinic/Center | 3400 Lafayette Rd, Sutie 200, Indianapolis, IN 46222-1146 | 2005-07-08 |
| 1487268413 | Aspire Indiana Health Inc | Clinic/Center | 201 Shelby St, Rm 101 & 103, Indianapolis, IN 46202-3943 | 2020-09-08 |
| 1053951806 | Aspire Indiana Health Inc | Clinic/Center | 201 Shelby St, Indianapolis, IN 46202-3943 | 2020-01-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46203 |
Please comment or provide details below to improve the information on ESKENAZI HEALTH FOUNDATION INC.
| 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.