Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Indiana Health Centers, Inc

Organization Dentist · NPI 1174626014

Indiana Health Centers, Inc is a Dentist in South Bend, Indiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1901 W Western Ave Ste B
South Bend, IN 46619-3521
Phone: (574) 234-9033
Fax: (574) 847-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Dentist Taxonomy 122300000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics Physician Taxonomy 207VX0000X
Pediatrics Physician Taxonomy 208000000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1174626014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Nagel — Chief Financial Officer · (317) 576-1335
Other names Indiana Health Center @ South Bend; Indiana Health Center @ South Bend
NPI enumeratedSeptember 6, 2006
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023
Mailing address8003 Castleway Dr, Indianapolis, IN 46250-1946

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