Indiana Health Centers, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

INDIANA HEALTH CENTERS, INC

Doing business as

IHC at Four County

Practice address

421 12TH Street
Logansport, IN 46947-3539

Phone

(574) 722-7407

Fax

(844) 397-1308

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Tracy J Nagel

Title

Cfo

Phone

(317) 576-1335

Specialties & licenses 1

Addresses

Other names 1

• IHC at Four County Doing business as

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1154862829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501946",
            "telephone_number": "317-576-1335",
            "fax_number": "317-576-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 12TH STREET",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469473539",
            "telephone_number": "574-722-7407",
            "fax_number": "844-397-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-576-1335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHC at Four County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IHC at Four County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Joy Howell, MA, BCBA
• Kasey Elizabeth Huff, MSW LCSW
• Tara Lynne Hughes, NP
• Kathleen Rachelle Hunt, ATC
• Theresa Hurst
• Indiana Health Centers, Inc.
• Indiana Physician Management-Logansport, LLC
• Jack E. Goris D.D.S.,PC
• Saad J. Jawdi, M.D.
• Douglas J Jennings, DC

• Federally Qualified Health Center (FQHC) in Logansport, IN
• Providers in Logansport, IN by specialty
• Federally Qualified Health Center (FQHC) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.