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1985 E Freedom Dr Newberry IN 47449 | |
(812) 847-4481 | |
(844) 658-7526 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1985 E Freedom Dr, Newberry, 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 |
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1185 N 1000 W Linton IN 47441-5282 Ph: (812) 847-5212 | 1985 E Freedom Dr Newberry IN 47449 Ph: (812) 847-4481 |
NPI Number | 1053808683 |
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Provider Enumeration Date | 04/19/2018 |
Last Update Date | 07/10/2019 |
Medicare PECOS PAC ID | 2961481544 |
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Medicare Enrollment ID | O20180515001967 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053808683 | NPI | - | NPPES |
300024531 | Medicaid | IN |