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416 E Walnut St Brownstown IN 47220-1515 | |
(574) 205-9563 | |
(812) 954-5022 |
Full Name | |
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Speciality | Clinic/Center |
Location | 416 E Walnut St, Brownstown, Indiana |
Authorized Official Name and Position | Tracy Nagel (CFO) |
Authorized Official Contact | 3175761335 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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8003 Castleway Dr Indianapolis IN 46250-1946 Ph: (317) 576-1335 | 416 E Walnut St Brownstown IN 47220-1515 Ph: (574) 205-9563 |
NPI Number | 1437873841 |
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Provider Enumeration Date | 09/29/2022 |
Last Update Date | 11/15/2022 |
Certification Date | 11/15/2022 |
Medicare PECOS PAC ID | 3971599473 |
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Medicare Enrollment ID | O20221227001145 |
Identifier | Type | State | Issuer |
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1437873841 | NPI | - | NPPES |