NPIMap

Organization Active NPI

Indiana Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Logansport, IN
National Provider Identifier
1669582664
Registry record updated Oct 14, 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.
Practice address
1700 Dividend Dr
Logansport, IN 46947-1572
Phone
(574) 722-7407
Fax
(574) 847-7203
NPI assigned
Aug 30, 2006
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Tracy Nagel
Title
Chief Financial Officer
Phone
(317) 576-1335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

1700 Dividend Dr
Logansport, IN 46947-1572

Mailing address

8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335

Other identifiers 1

IdentifierTypeStateIssuer
100071250 HMedicaidIN

Other names 1

  • Cass County Community Health Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061115000132 IN Part A Provider - Federally Qualified Health Center (FQHC) 3971599473 1 other NPI on this enrollment
Practice locations: Logansport, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669582664. Details of each certification follow.

Federally qualified health center certification: CCN 151815

Legal name
INDIANA HEALTH CENTERS INC
Doing business as
CASS COUNTY COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 29, 1996
Last certification
Oct 29, 1996
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1700 Dividend Dr
Logansport, IN 46947-1572

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

Other NPIs on the same Medicare enrollment 1

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

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

Locations

1901 W Western Ave
Ste B
South Bend, IN 46619
Phone (574) 234-9033

Ownership & related parties

All disclosed owners & managing parties 14

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 Feb 29, 2020
Brian P Kelly Individual Corporate DirectorBoard Member Sep 26, 2015
Earl H Lane Individual Corporate DirectorBoard Member Apr 10, 2011
Ann Lundy Individual Corporate OfficerCeo Jan 30, 2023
W-2 Managing EmployeeCeo Jan 30, 2025
Michael D Busch Individual Corporate DirectorBoard Member Sep 24, 1996
Addison G Haynes Individual Corporate OfficerCmo Feb 4, 2026
W-2 Managing EmployeeCmo Feb 4, 2026
Nicole Meyer Individual Corporate OfficerCoo Sep 2, 2019
Tracy J Nagel Individual Corporate OfficerChief Financial Officer Jun 2, 2008
Tamara L Habegger Individual Corporate OfficerBoard Member Mar 28, 2015
David McDonald Individual Corporate DirectorBoard Member Sep 24, 2016
Ayotade Ojutalayo Individual Corporate DirectorBoard Member Oct 1, 2012
Maricela Navarro Individual Corporate DirectorBoard Member Aug 24, 2019
Andrea R Graham Individual Corporate DirectorBoard Member Jun 27, 2015
Bernard J Emkes Individual Corporate DirectorBoard Member Jun 4, 2003

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1669582664",
    "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": "1700 DIVIDEND DR",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471572",
            "telephone_number": "574-722-7407",
            "fax_number": "574-847-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "317-576-1335"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100071250 H",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cass County Community Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cass County Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.