NPIMap

Organization Active NPI

The Health and Hospital Corporation of Marion County

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
National Provider Identifier
1184963530
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Practice address
720 Eskenazi Ave
Eskenazi Health Outpatient Care Center, 2ND Floor
Indianapolis, IN 46202-5166
Phone
(317) 880-7000
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Authorized official

Name
Nancy Buxser
Title
Coo
Phone
(317) 880-5101

Specialties & licenses 1

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

Addresses

Primary practice location

720 Eskenazi Ave
Eskenazi Health Outpatient Care Center, 2ND Floor
Indianapolis, IN 46202-5166

Mailing address

PO Box 637951
Cincinnati, OH 45263-7951

Other names 1

  • Eskenazi Health Center PCC - Pediatrics Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041229000426 IN Part B Supplier - Clinic/Group Practice 6709795974 Receives reassigned benefits from 583 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Indianapolis, IN

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1184963530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637951",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ESKENAZI AVE",
            "address_2": "ESKENAZI HEALTH OUTPATIENT CARE CENTER, 2ND FLOOR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025166",
            "telephone_number": "317-880-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "BUXSER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "317-880-5101"
    },
    "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": "Eskenazi Health Center PCC - Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.