| My Bloomfield Clinic | |
|
55 N Judge St Bloomfield IN 47424 | |
| (812) 847-4481 | |
| (844) 658-7526 |
| Full Name | My Bloomfield Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 N Judge St, Bloomfield, Indiana |
| Authorized Official Name and Position | Wendy Spurlin (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 8128475212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Bloomfield Clinic 1185 N 1000 W Linton IN 47441-5282 Ph: (812) 847-5212 | My Bloomfield Clinic 55 N Judge St Bloomfield IN 47424 Ph: (812) 847-4481 |
| NPI Number | 1821585563 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 07/10/2019 |
| Medicare PECOS PAC ID | 2961481544 |
|---|---|
| Medicare Enrollment ID | O20180516002568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821585563 | NPI | - | NPPES |
| 300024488 | Medicaid | IN |
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