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3250 Intertech Dr Ste A Angola IN 46703-7224 | |
(260) 665-2646 | |
(260) 665-8707 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3250 Intertech Dr Ste A, Angola, Indiana |
Authorized Official Name and Position | Andrew M Aldred (VP/COO) |
Authorized Official Contact | 2606675330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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416 E Maumee St Angola IN 46703-2015 Ph: (260) 667-5131 | 3250 Intertech Dr Ste A Angola IN 46703-7224 Ph: (260) 665-2646 |
NPI Number | 1922671809 |
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Provider Enumeration Date | 07/20/2021 |
Last Update Date | 02/28/2023 |
Medicare PECOS PAC ID | 9234020835 |
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Medicare Enrollment ID | O20211018001516 |
Identifier | Type | State | Issuer |
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1922671809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Watkins Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Maumee St, Angola, IN 46703 Phone: 260-665-2164 Fax: 260-665-3932 | |
Dunlap Eye Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 S Wayne St, Angola, IN 46703 Phone: 260-665-5450 Fax: 260-665-5860 | |
Hollingsworth Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Williams St, Angola, IN 46703 Phone: 260-665-2161 | |