| Charlestown Primary Care Llc | |
|
3901 County Road 160 Charlestown IN 47111-9181 | |
| (812) 406-6897 | |
| (812) 256-3577 |
| Full Name | Charlestown Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3901 County Road 160, Charlestown, Indiana |
| Authorized Official Name and Position | Willam E Hoke (MEMBER) |
| Authorized Official Contact | 8122561106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlestown Primary Care Llc 3901 County Road 160 Charlestown IN 47111-9181 Ph: (812) 406-6897 | Charlestown Primary Care Llc 3901 County Road 160 Charlestown IN 47111-9181 Ph: (812) 406-6897 |
| NPI Number | 1114108164 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 04/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114108164 | NPI | - | NPPES |
| 000000549269 | Other | IN | ANTHEM GROUP NUMBER |
| 20089454A | Medicaid | IN |
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