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102 E Main St Worthington IN 47471 | |
(812) 847-4481 | |
(844) 658-7526 |
Full Name | |
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Speciality | Clinic/Center |
Location | 102 E Main St, Worthington, 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 | 102 E Main St Worthington IN 47471 Ph: (812) 847-4481 |
NPI Number | 1962999599 |
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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 | O20180517000499 |
Identifier | Type | State | Issuer |
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1962999599 | NPI | - | NPPES |
300027043 | Medicaid | IN |