Indiana Health Center @ South Bend is a Dental Clinic in South Bend, Indiana. It is located at 1901 W Western Ave, Ste B, South Bend, IN and its contact number is 574-234-9033. The authorized person for Indiana Health Center @ South Bend is Mr. Tracy Nagel
who is Chief Financial Officer of the clinic and their contact number is 317-576-1335. Indiana Health Center @ South Bend Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Indiana Health Center @ South Bend Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Indiana Health Center @ South Bend
Specialization:
Dentistry
Clinic Address:
1901 W Western Ave, Ste B, South Bend, Indiana, 46619-3521
Phone:
574-234-9033
Fax:
574-847-7200
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Tracy Nagel
Position:
Chief Financial Officer
Contact Number:
317-576-1335
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Indiana Health Center @ South Bend clinic are as mentioned below.
NPI Number:
1174626014
NPI Enumeration Date:
06 Sep, 2006
NPI Last Update On:
17 Mar, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Indiana Health Center @ South Bend are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Primary
Dentist
Secondary
Family Medicine
Secondary
Internal Medicine
Secondary
Obstetrics
Secondary
Pediatrics
Secondary
Family
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100071250 C
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Indiana Health Center @ South Bend 8003 Castleway Dr, Indianapolis, Indiana
Zip:
46250-1946
Phone Number:
317-576-1335
Fax Number:
317-576-1339
Patients can reach Indiana Health Center @ South Bend at 1901 W Western Ave, Ste B, South Bend, Indiana or can call to book an appointment on 574-234-9033. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.