Raphael Health Center, Inc in Indianapolis - Federally Qualified Health Center (fqhc)
Raphael Health Center, Inc - NPI 1487764759
Raphael Health Center, Inc is a Federally Qualified Health Center (fqhc) in Indianapolis, Indiana. Raphael Health Center, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Raphael Health Center, Inc is 1487764759. The last update date is 2018-07-26.
Raphael Health Center, Inc's current location address is 401 E 34th St, Indianapolis, Indiana. You can contact this provider via phone number 3179261507 and fax number 3179261508. The mailing address for Raphael Health Center, Inc is 401 E 34th St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Raphael Health Center, Inc |
|---|---|
| Address | 401 E 34th St, Indianapolis, Indiana |
| Phone Number | 3179261507 |
| Fax Number | 3179261508 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Elliott C. Hoagland |
| Telephone Number | 3179261507 |
NPI Number Detail
| NPI Number | 1487764759 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2018-07-26 |
Provider Mailing Address Detail
| Address | 401 E 34th St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462053754 |
| Phone Number | 3179261507 |
| Fax Number | 3179261508 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200077460A | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Raphael Health Center, Inc by the Centers for Medicare & Medicaid Services?
The Raphael Health Center, Inc has been issued the NPI (National Provider Identifier) 1487764759. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Raphael Health Center, Inc is located?
The Raphael Health Center, Inc is situated at the following address: 401 E 34Th St, Indianapolis, IN, 462053754.
What is Raphael Health Center, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Raphael Health Center, Inc's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Raphael Health Center, Inc receive the assignment of its 1487764759 from the Centers for Medicare & Medicaid Services?
The Raphael Health Center, Inc was issued its 1487764759 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information related to Raphael Health Center, Inc most recently updated or refreshed?
The details pertaining to the Raphael Health Center, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-07-26.