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3145 45th St Ste G Highland IN 46322-3292 | |
(331) 277-8585 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 3145 45th St Ste G, Highland, Indiana |
Authorized Official Name and Position | Hector R Zavala (OWNER) |
Authorized Official Contact | 3312778585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1803 Norwood Dr Griffith IN 46319-1131 Ph: (331) 277-8585 | 3145 45th St Ste G Highland IN 46322-3292 Ph: (331) 277-8585 |
NPI Number | 1053198804 |
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Provider Enumeration Date | 09/13/2023 |
Last Update Date | 02/02/2025 |
Certification Date | 02/02/2025 |
Medicare PECOS PAC ID | 0840725834 |
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Medicare Enrollment ID | O20241127003243 |
Identifier | Type | State | Issuer |
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1053198804 | NPI | - | NPPES |
300088363 | Medicaid | IN |
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