| Memorial Hospital And Health Care Center Psychiatric Physician Practic | |
|
721 W 13th St Suite 101 Jasper IN 47546-1855 | |
| (812) 481-5780 | |
| Not Available |
| Full Name | Memorial Hospital And Health Care Center Psychiatric Physician Practic |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 721 W 13th St, Jasper, Indiana |
| Authorized Official Name and Position | Raymond W Snowden (PRESIDENT AND CEO) |
| Authorized Official Contact | 8124822345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Hospital And Health Care Center Psychiatric Physician Practic Po Box 1028 Jasper IN 47547-1028 Ph: (812) 481-8493 | Memorial Hospital And Health Care Center Psychiatric Physician Practic 721 W 13th St Suite 101 Jasper IN 47546-1855 Ph: (812) 481-5780 |
| NPI Number | 1861420689 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 01/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861420689 | NPI | - | NPPES |
| CB3118 | Other | IN | RAILROAD MEDICARE |
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