| Brazil Family Medicine | |
|
115 S Murphy Ave Ste A Brazil IN 47834-8296 | |
| (812) 442-2100 | |
| Not Available |
| Full Name | Brazil Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 S Murphy Ave, Brazil, Indiana |
| Authorized Official Name and Position | Steve Holman (CEO) |
| Authorized Official Contact | 8122387606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brazil Family Medicine 221 S 6th St Terre Haute IN 47807-4214 Ph: (812) 242-3157 | Brazil Family Medicine 115 S Murphy Ave Ste A Brazil IN 47834-8296 Ph: (812) 442-2100 |
| NPI Number | 1013087048 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 07/20/2023 |
| Medicare PECOS PAC ID | 8426943614 |
|---|---|
| Medicare Enrollment ID | O20170223001026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013087048 | NPI | - | NPPES |
| 200853600A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Indiana) | Primary |
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