INDIANA HEALTH CENTERS, INC (NPI# 1154862829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154862829 |
| Entity Type | Organization |
| Organization Name | INDIANA HEALTH CENTERS, INC |
| Other Organization Name | IHC AT FOUR COUNTY |
| Practice Address |
421 12th Street Logansport IN 46947-3539 |
| Mailing Address |
8003 Castleway Dr Indianapolis IN 46250-1946 |
| Practice Telephone | 5747227407 |
| Practice Fax Number | 8443971308 |
| Mailing Telephone | 3175761335 |
| Mailing Fax Number | 3175761339 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | MR. TRACY J NAGEL (CFO) |
| Authorized Official Telephone | 3175761335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| IHC at Four County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1336373190 | Indiana Health Centers, Inc | Clinic/Center | 661 E Main St, Peru, IN 46970-2662 | 2009-05-08 |
| 1598776742 | Indiana Health Centers, Inc | Dentist | 415 E Madison St, South Bend, IN 46617-2322 | 2006-08-11 |
| Street Address |
421 12TH STREET |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-3539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1003867771 | Kevin O'brien | Family Medicine | 2413 High St, Logansport, IN 46947-1637 | 2006-05-15 |
| 1235134834 | Rene S Gutierrez | Family Medicine | 3400 E Market St, Logansport, IN 46947-2295 | 2005-06-20 |
| 1306841309 | Cory Scott Neumann | Family Medicine | 1201 Michigan Avenue, Ste 270, Logansport, IN 46947-1530 | 2005-06-16 |
| 1790788255 | Dallis Mark Bowditch | Family Medicine | 1201 Michigan Ave, Suite 140, Logansport, IN 46947-1580 | 2005-05-27 |
| 1205457892 | Desoto Hospital Assocation | Family Medicine | 808 Main St, Logansport, LA 71049-2605 | 2020-05-05 |
| 1285096701 | Olusina Akande | Family Medicine | 1201 Michigan Ave Ste 270, Logansport, IN 46947-1530 | 2016-03-23 |
| 1831355270 | Kenneth Masaka Kigorwe | Family Medicine | 1201 Michigan Avenue, Suite 240, Logansport, IN 46947-1530 | 2008-08-05 |
| 1659549830 | Zulfiqar Hashim | Family Medicine | 1700 Dividend Dr, Logansport, IN 46947 | 2008-02-11 |
| 1558444133 | Tonya R Brown | Family Medicine | 1201 Michigan Ave, Suite 270, Logansport, IN 46947-1580 | 2006-10-24 |
| Find all providers in LOGANSPORT | ||||
| City | LOGANSPORT |
| Zip Code | 46947 |
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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.