Ch Specialty Services In Llc | |
315 Country Club Rd Corydon IN 47112-1751 | |
(337) 991-9276 | |
Not Available |
Full Name | Ch Specialty Services In Llc |
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Speciality | Internal Medicine |
Location | 315 Country Club Rd, Corydon, Indiana |
Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
Authorized Official Contact | 3379919276 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ch Specialty Services In Llc 1509 Dulles Dr Lafayette LA 70506-3718 Ph: (337) 991-9276 | Ch Specialty Services In Llc 315 Country Club Rd Corydon IN 47112-1751 Ph: (337) 991-9276 |
NPI Number | 1497458731 |
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Provider Enumeration Date | 03/24/2023 |
Last Update Date | 03/24/2023 |
Medicare PECOS PAC ID | 7810354636 |
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Medicare Enrollment ID | O20230608002772 |
Identifier | Type | State | Issuer |
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1497458731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ajit Dhakal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649558024 PECOS PAC ID: 9638394026 Enrollment ID: I20140626001622 |
Provider Name | Vlastimil Smetka |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497974273 PECOS PAC ID: 1658424825 Enrollment ID: I20230523000850 |
Provider Name | Brian Whyms |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821440066 PECOS PAC ID: 2365736378 Enrollment ID: I20240417004187 |
Provider Name | Amanda Gillespie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477942092 PECOS PAC ID: 9638494537 Enrollment ID: I20240427001834 |
Provider Name | Ruth Seeley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295392421 PECOS PAC ID: 3779818737 Enrollment ID: I20240703000300 |
Provider Name | Audrianna Sparks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20240913002050 |
Provider Name | Michael Lysek |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265968853 PECOS PAC ID: 3173874823 Enrollment ID: I20240919003396 |
Provider Name | Kaitlynn Mckay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124772546 PECOS PAC ID: 5890182901 Enrollment ID: I20241115001784 |
Provider Name | Courtney Jack |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336740620 PECOS PAC ID: 8820403249 Enrollment ID: I20241211002201 |
Provider Name | Chante Campbell-nixon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649868738 PECOS PAC ID: 7416361126 Enrollment ID: I20241211002999 |
Provider Name | Julie Bearce |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609013531 PECOS PAC ID: 9638228026 Enrollment ID: I20241211003123 |
Fmmg Harrison Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Federal Dr Nw, Suite 200, Corydon, IN 47112 Phone: 812-738-4155 Fax: 812-738-6104 | |
Harrison County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1141 Hospital Drive Nw, Corydon, IN 47112 Phone: 812-738-7865 Fax: 812-738-7833 | |