<unavail> in Logansport, IN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Logansport, Indiana. The current practice location for is 1700 Dividend Dr, Logansport, Indiana. For appointments, you can reach them via phone at (574) 722-7407. The mailing address for is 8003 Castleway Dr, Indianapolis, Indiana and phone number is (317) 576-1335.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1669582664. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (574) 722-7407.

Contact Information


	1700 Dividend Dr Logansport IN 46947-1572
	(574) 722-7407
	(574) 847-7203

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1700 Dividend Dr, Logansport, Indiana
Authorized Official Name and Position	Tracy Nagel (CHIEF FINANCIAL OFFICER)
Authorized Official Contact	3175761335
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
8003 Castleway Dr Indianapolis IN 46250-1946 Ph: (317) 576-1335	1700 Dividend Dr Logansport IN 46947-1572 Ph: (574) 722-7407

NPI Details:

NPI Number	1669582664
Provider Enumeration Date	08/30/2006
Last Update Date	03/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	3971599473
Medicare Enrollment ID	O20061115000132

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669582664	NPI	-	NPPES
100071250 H	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Logansport, IN

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 High St, Logansport, IN 46947 Phone: 574-732-2552 Fax: 574-732-0046
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 12th Street, Logansport, IN 46947 Phone: 574-722-7407 Fax: 844-397-1308
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-732-2468 Fax: 574-739-1414
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 Michigan Ave Ste 270, Logansport, IN 46947 Phone: 574-722-4921 Fax: 574-739-0520
Logansport Family Health Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Michigan Avenue, Suite 270, Logansport, IN 46947 Phone: 574-722-4921 Fax: 574-739-0520
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 E Dewey St, Logansport, IN 46947 Phone: 574-737-8634 Fax: 574-217-4825

- Medicare Primary Care in Logansport, IN