| |
2707 S. Western Avenue Marion IN 46953-3565 | |
(765) 668-4990 | |
(765) 668-4993 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2707 S. Western Avenue, Marion, Indiana |
Authorized Official Name and Position | James R Allbaugh (CEO PRESIDENT) |
Authorized Official Contact | 7656688961 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2724 S. Carey Street Marion IN 46953 Ph: (765) 668-8961 | 2707 S. Western Avenue Marion IN 46953-3565 Ph: (765) 668-4990 |
NPI Number | 1942335740 |
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Provider Enumeration Date | 02/22/2007 |
Last Update Date | 10/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942335740 | NPI | - | NPPES |
100124400A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | 71002182A (Indiana) | Secondary |
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