Full Name | |
---|---|
Speciality | General Practice |
Location | 400 Ash St, Wabash, Indiana |
Authorized Official Name and Position | Paolo C. Giacomini C Giacomini (OWNER) |
Authorized Official Contact | 2605638875 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
400 Ash St Wabash IN 46992-1954 Ph: (260) 563-8875 | 400 Ash St Wabash IN 46992-1954 Ph: (260) 563-8875 |
NPI Number | 1790940476 |
---|---|
Provider Enumeration Date | 07/22/2008 |
Last Update Date | 07/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790940476 | NPI | - | NPPES |
200042050A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 01038356 (Indiana) | 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 | |