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1146 N Cass St Ste 1146-c Wabash IN 46992-1081 | |
(765) 307-7146 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1146 N Cass St Ste 1146-c, Wabash, Indiana |
Authorized Official Name and Position | Monya York (CONTROLLER) |
Authorized Official Contact | 8708561202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4196 Highway 62 412 Ste A Hardy AR 72542-8002 Ph: () - | 1146 N Cass St Ste 1146-c Wabash IN 46992-1081 Ph: (765) 307-7146 |
NPI Number | 1396440756 |
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Provider Enumeration Date | 04/04/2023 |
Last Update Date | 04/05/2024 |
Medicare PECOS PAC ID | 1951721802 |
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Medicare Enrollment ID | O20230623001162 |
Identifier | Type | State | Issuer |
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1396440756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Nustart, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 797 S Wabash St, Wabash, IN 46992 Phone: 260-330-9291 Fax: 260-330-1234 | |
Nustart Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 797 S Wabash St, Wabash, IN 46992 Phone: 260-563-0700 Fax: 260-274-0135 | |
American Health Network Of Indiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 276 Manchester Ave, Wabash, IN 46992 Phone: 260-563-2126 Fax: 260-563-2120 | |