| Advanced Medical Computing Inc | |
|
150 W Angela Blvd South Bend IN 46617-1101 | |
| (574) 232-5065 | |
| (574) 232-5386 |
| Full Name | Advanced Medical Computing Inc |
|---|---|
| Speciality | Social Worker |
| Location | 150 W Angela Blvd, South Bend, Indiana |
| Authorized Official Name and Position | F. Geoffrey Samora (PRESIDENT) |
| Authorized Official Contact | 5742325065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Computing Inc 150 W Angela Blvd South Bend IN 46617-1101 Ph: (574) 232-5065 | Advanced Medical Computing Inc 150 W Angela Blvd South Bend IN 46617-1101 Ph: (574) 232-5065 |
| NPI Number | 1720250756 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 12/07/2011 |
| Medicare PECOS PAC ID | 9436141629 |
|---|---|
| Medicare Enrollment ID | O20111212000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720250756 | NPI | - | NPPES |
| 200441660A | Medicaid | IN |
| Provider Name | Francis G Samora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871512939 PECOS PAC ID: 5092980540 Enrollment ID: I20111212000421 |
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