Shalom Health Care Center, Inc.

NPI #1538167036 in Indianapolis, Indiana

Provider Information

NPI Number
1538167036
Entity Type
Organization
Organization Name
Shalom Health Care Center, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 8, 2005
Last Updated
Jan 22, 2021

Practice Location

Address
3400 LAFAYETTE RD
Address 2
SUTIE 200
State
Indiana
ZIP Code
46222-1146
Phone
(317) 291-7422

Authorized Official

Name
MR. LEONARDO R ORTEGA, MD, MPH
Title
EXECUTIVE DIRECTOR
Phone
(317) 291-7422

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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