RAPHAEL HEALTH CENTER, INC – NPI #1487764759
Clinic/Center

RAPHAEL HEALTH CENTER, INC is an AHC clinic located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1487764759 to RAPHAEL HEALTH CENTER, INC on August 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 8 years ago on Jul 26, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RAPHAEL HEALTH CENTER, INC below.

NPI Profile for
RAPHAEL HEALTH CENTER, INC

NPI Number
1487764759
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RAPHAEL HEALTH CENTER, INC
Primary location
401 E 34TH ST
INDIANAPOLIS, IN 46205
Phone: (317) 926-1507 Fax: (317) 926-1508
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HOAGLAND ELLIOTT
EXECUTIVE DIRECTOR
Phone: (317) 926-1507
Updated
Identifiers

Identifiers for RAPHAEL HEALTH CENTER, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN200077460A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
207Q00000X
- Family Medicine
IN 01051367A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.