Aspire Indiana Health - Madison-grant | |
11640 S E 00 W Fairmount IN 46928-9318 | |
(317) 574-1254 | |
(317) 674-0060 |
Full Name | Aspire Indiana Health - Madison-grant |
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Speciality | Clinic/Center |
Location | 11640 S E 00 W, Fairmount, Indiana |
Authorized Official Name and Position | Timothy D Crockett (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3175870505 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aspire Indiana Health - Madison-grant 9615 E 148th St Ste 1 Noblesville IN 46060-4371 Ph: (317) 574-1254 | Aspire Indiana Health - Madison-grant 11640 S E 00 W Fairmount IN 46928-9318 Ph: (317) 574-1254 |
NPI Number | 1821765884 |
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Provider Enumeration Date | 08/26/2021 |
Last Update Date | 11/03/2023 |
Medicare PECOS PAC ID | 8921314196 |
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Medicare Enrollment ID | O20210831000284 |
Identifier | Type | State | Issuer |
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1821765884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Fairmount Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 W 8th St, Fairmount, IN 46928 Phone: 765-660-7880 Fax: 765-382-4490 | |
Fairmount Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 W 8th St, Fairmount, IN 46928 Phone: 765-660-7880 Fax: 765-382-4490 |