JANE PAULEY COMMUNITY HEALTH CENTER INC
NPI 1730488818
Clinic/Center - Federally Qualified Health Center (FQHC) in Indianapolis, IN

Active since March 15, 2011CLIA 15D2027609 · Waiver
1503 N MITTHOEFFER RD STE 150, INDIANAPOLIS, IN 46229(317) 934-0755(317) 469-1662 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2022, Aug 31, 2017 (2 updates tracked since 2017).

About Jane Pauley Community Health Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANE PAULEY COMMUNITY HEALTH CENTER INC (NPI 1730488818) is a healthcare organization registered as a federally qualified health center (fqhc) in Indianapolis, Indiana and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Michael Dale, Chief Finance Officer, as its authorized official.

NPPES Registry Identity

NPI1730488818
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameJANE PAULEY COMMUNITY HEALTH CENTER INC
Location Address1503 N MITTHOEFFER RD STE 150Indianapolis, IN 46229-2425
Mailing Address1503 N Mitthoeffer Rd Ste 150Indianapolis, IN 46229-2425 · (317) 355-9320 · Fax (317) 355-9319
Fax(317) 469-1662
Organization SubpartNo
Authorized OfficialMichael DaleChief Finance Officer · (317) 934-0755
Enumeration DateMarch 15, 2011
Last NPPES UpdateJanuary 20, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
NPI 1730488818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1503 N MITTHOEFFER RD STE 150, Indianapolis, IN 46229

Other Identifiers 1

Medicaid201026910IN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2027609

Jane Pauley Community Health Center · Indianapolis, IN
Active · expires Jul 29, 2027
CLIA Number15D2027609
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorJames P. Bien
Laboratory Phone(317) 934-0755
Laboratory LocationJane Pauley Community Health Center8931 E 30th St, Indianapolis, IN 46219
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jane Pauley Community Health Center Inc's NPI number?

The NPI number for Jane Pauley Community Health Center Inc is 1730488818. It was assigned to this organization in the NPPES registry on March 15, 2011.

Where is Jane Pauley Community Health Center Inc located?

Jane Pauley Community Health Center Inc is located at 1503 N Mitthoeffer Rd Ste 150, Indianapolis, IN 46229. The listed phone number is (317) 934-0755.

What is Jane Pauley Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Jane Pauley Community Health Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2027609) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jane Pauley Community Health Center Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Jane Pauley Community Health Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jane Pauley Community Health Center Inc was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.