| Acute Medical Care Pc | |
|
1145 Indianapolis Rd Greencastle IN 46135-2408 | |
| (765) 653-8453 | |
| (765) 653-8493 |
| Full Name | Acute Medical Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1145 Indianapolis Rd, Greencastle, Indiana |
| Authorized Official Name and Position | Thomas Houston Black (CEO) |
| Authorized Official Contact | 7656538453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acute Medical Care Pc 1145 Indianapolis Rd Greencastle IN 46135-2408 Ph: (765) 653-8453 | Acute Medical Care Pc 1145 Indianapolis Rd Greencastle IN 46135-2408 Ph: (765) 653-8453 |
| NPI Number | 1790868016 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 05/30/2013 |
| Medicare PECOS PAC ID | 3173410073 |
|---|---|
| Medicare Enrollment ID | O20040304000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790868016 | NPI | - | NPPES |
| 200125540A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas H Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851474167 PECOS PAC ID: 1951298751 Enrollment ID: I20040308000325 |
| Provider Name | Brian H Black |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437255239 PECOS PAC ID: 0840229571 Enrollment ID: I20050811001030 |
| Provider Name | Stephanie Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144767526 PECOS PAC ID: 3375814585 Enrollment ID: I20170807002260 |
| Provider Name | Stephanie C Marlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386287548 PECOS PAC ID: 6507298460 Enrollment ID: I20191114000478 |
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