NPIMap

Organization Active NPI

Eskenazi Health Foundation Inc

Doing business as Eskenazi Health Center Community (FQHC)

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
National Provider Identifier
1124401856
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
12012361A Issued in IN
Legal business name
ESKENAZI HEALTH FOUNDATION INC
Doing business as
Eskenazi Health Center Community (FQHC)
Practice address
1434 Shelby St
Indianapolis, IN 46203-1945
Phone
(317) 655-3200
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Kunzer, MD
Title
Pediatrician
Phone
(317) 880-8211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 12012361A IN Primary

Addresses

Primary practice location

1434 Shelby St
Indianapolis, IN 46203-1945

Mailing address

720 Eskenazi Ave
Indianapolis, IN 46202-5166

Other names 1

  • Eskenazi Health Center Community (FQHC) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eskenazi Health Center Community FQHC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1124401856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ESKENAZI AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 SHELBY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031945",
            "telephone_number": "317-655-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESKENAZI HEALTH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "KUNZER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "317-880-8211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "IN",
            "license": "12012361A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eskenazi Health Center Community (FQHC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.