| Cass County Wic Program | |
|
1700 Dividend Dr Logansport IN 46947-1572 | |
| (574) 753-4961 | |
| (574) 735-0429 |
| Full Name | Cass County Wic Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1700 Dividend Dr, Logansport, Indiana |
| Authorized Official Name and Position | Lynn H. Clothier (CEO) |
| Authorized Official Contact | 3175761335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cass County Wic Program 8003 Castleway Drive Indianapolis IN 46250 Ph: (317) 576-1335 | Cass County Wic Program 1700 Dividend Dr Logansport IN 46947-1572 Ph: (574) 753-4961 |
| NPI Number | 1427262492 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427262492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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