RAPHAEL HEALTH CENTER - SALVATION ARMY
NPI 1881383420
Clinic/Center - Federally Qualified Health Center (FQHC) in Indianapolis, IN
About Raphael Health Center - Salvation Army NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAPHAEL HEALTH CENTER - SALVATION ARMY (NPI 1881383420) is a healthcare organization registered as a federally qualified health center (fqhc) in Indianapolis, Indiana and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through September 10, 2028 and lists Paul M Utterback, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raphael Health Center - Salvation Army is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Raphael Health Center - Salvation Army, which bills Medicare for the services they deliver. Of these, 20 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 31Indianapolis, IN 40260
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 15D2350614
Raphael Health Center · Indianapolis, INFrequently 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 Raphael Health Center, Inc's NPI number?
The NPI number for Raphael Health Center, Inc is 1881383420. It was assigned to this organization in the NPPES registry on May 1, 2023. The provider is also known as Raphael Health Center - Salvation Army.
Where is Raphael Health Center, Inc located?
Raphael Health Center, Inc is located at 711 E Washington St, Indianapolis, IN 46202. The listed phone number is (317) 226-4248.
What is Raphael 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.
Is Raphael Health Center, Inc enrolled in Medicare?
Yes. Raphael Health Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Raphael Health Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 11 Medicare specialties reassign their Medicare billing to Raphael Health Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (8), Dentist (5) and Nurse Practitioner (5). Of these, 20 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Raphael Health Center, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2350614) is associated with this NPI, valid through September 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Raphael Health Center, Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Raphael 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 Raphael Health Center, Inc was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Raphael Health Center - Salvation Army · NPI 1881383420
Federally Qualified Health Center (FQHC) organization in Indianapolis, Indiana. Organization record, active in the CMS NPPES registry since May 1, 2023.
## Identity
- **NPI:** 1881383420 (Entity type: Organization)
- **Enumerated:** May 1, 2023
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Raphael Health Center, Inc
- **Organization subpart:** No
- **Authorized official:** Paul Utterback, CFO
## Practice location
- **Address:** 711 E WASHINGTON ST, Indianapolis, IN 46202-3915
- **Phone:** (317) 226-4248
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (8), Dentist (5), Nurse Practitioner (5); 20 practice within 10 miles; [full list](https://npiprofile.com/npi/1881383420/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881383420) · Data from the CMS NPPES public registry.