NPIMap

Organization Active NPI

Indiana Health Centers, Inc

Doing business as IHC at the Centers for the Homeless

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
National Provider Identifier
1649063249
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
INDIANA HEALTH CENTERS, INC
Doing business as
IHC at the Centers for the Homeless
Practice address
813 S Michigan St
South Bend, IN 46601-3102
Phone
(574) 235-7990
Fax
(574) 847-7201
NPI assigned
May 27, 2025
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Tracy Nagel
Title
Cfo
Phone
(317) 576-1335

Specialties & licenses 1

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

Addresses

Primary practice location

813 S Michigan St
South Bend, IN 46601-3102

Mailing address

813 S Michigan St
South Bend, IN 46601-3102

Other names 1

  • IHC at the Centers for the Homeless Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250703000822 IN Part A Provider - Federally Qualified Health Center (FQHC) 3971599473 Practice locations: South Bend, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649063249. Details of each certification follow.

Federally qualified health center certification: CCN C51095

Legal name
INDIANA HEALTH CENTERS INC
Doing business as
IHC AT THE CENTERS FOR THE HOMELESS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 20, 2025
Last certification
Jun 20, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
813 S Michigan St
South Bend, IN 46601-3102

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Indiana Health Centers22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rebekah Price Individual Corporate DirectorBoard Member May 28, 2025
Brian P Kelly Individual Corporate DirectorBoard Member May 28, 2025
Earl H Lane Individual Corporate DirectorBoard Member May 28, 2025
Ann Lundy Individual Corporate OfficerCeo May 28, 2025
Michael D Busch Individual Corporate DirectorBoard Member May 28, 2025
Nicole Meyer Individual Corporate OfficerCoo May 28, 2025
Tracy J Nagel Individual Corporate OfficerCfo May 28, 2025
W-2 Managing EmployeeCfo May 28, 2025
Tamara L Habegger Individual Corporate DirectorBoard Member May 28, 2025
David McDonald Individual Corporate DirectorBoard Member May 28, 2025
Ayotade Ojutalayo Individual Corporate DirectorBoard Member May 28, 2025
Maricela Navarro Individual Corporate DirectorBoard Member May 28, 2025
Andrea R Graham Individual Corporate DirectorBoard Member May 28, 2025
Bernard J Emkes Individual Corporate DirectorBoard Member May 28, 2025

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1649063249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 S MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 S MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013102",
            "telephone_number": "574-235-7990",
            "fax_number": "574-847-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-576-1335"
    },
    "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 the Centers for the Homeless",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IHC at the Centers for the Homeless",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.