| |
2116 S Park Ave Alexandria IN 46001-8048 | |
(765) 724-4455 | |
(765) 724-3386 |
Full Name | |
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Speciality | Family Medicine |
Location | 2116 S Park Ave, Alexandria, Indiana |
Authorized Official Name and Position | Jeffery Thomas (CFO) |
Authorized Official Contact | 3173555822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2116 S Park Ave Alexandria IN 46001-8048 Ph: (765) 724-4455 | 2116 S Park Ave Alexandria IN 46001-8048 Ph: (765) 724-4455 |
NPI Number | 1083668586 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 07/27/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083668586 | NPI | - | NPPES |
200325490J | Medicaid | IN | |
DB3501 | Other | IN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Meridian Health Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Central Ave, Alexandria, IN 46001 Phone: 765-288-1928 | |
Meridian Health Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Harrison St, Alexandria, IN 46001 Phone: 765-288-1928 | |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 S Harrison St, Alexandria, IN 46001 Phone: 317-791-6691 Fax: 317-472-7498 |