Provider Demographics
NPI:1386876233
Name:RIGGS COMMUNITY HEALTH CENTER INC
Entity type:Organization
Organization Name:RIGGS COMMUNITY HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BAMBI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCQUADE JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-742-1567
Mailing Address - Street 1:1716 HARTFORD ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47904-2138
Mailing Address - Country:US
Mailing Address - Phone:765-742-1567
Mailing Address - Fax:765-429-2700
Practice Address - Street 1:1324 TIPPECANOE ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47904-2051
Practice Address - Country:US
Practice Address - Phone:765-742-1567
Practice Address - Fax:765-429-6169
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIGGS COMMUNITY HEALTH CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-11
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)