Christian Clinic Pc | |
716 S College Ave Rensselaer IN 47978-3083 | |
(219) 866-0485 | |
(219) 866-0837 |
Full Name | Christian Clinic Pc |
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Speciality | Family Medicine |
Location | 716 S College Ave, Rensselaer, Indiana |
Authorized Official Name and Position | James G Wakefield (OWNER) |
Authorized Official Contact | 2198660485 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christian Clinic Pc 716 S College Ave Rensselaer IN 47978-3083 Ph: (219) 866-0485 | Christian Clinic Pc 716 S College Ave Rensselaer IN 47978-3083 Ph: (219) 866-0485 |
NPI Number | 1558763987 |
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Provider Enumeration Date | 09/17/2014 |
Last Update Date | 09/14/2015 |
Medicare PECOS PAC ID | 1759682552 |
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Medicare Enrollment ID | O20151221002147 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558763987 | NPI | - | NPPES |
20052387OA | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01060733A (Indiana) | Primary |
Provider Name | James G Wakefield |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801882345 PECOS PAC ID: 0042287021 Enrollment ID: I20050722000663 |
Provider Name | Patricia L Benedict |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134455363 PECOS PAC ID: 6901947456 Enrollment ID: I20100106000750 |
Provider Name | Stephen K Rogers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609879675 PECOS PAC ID: 2567591019 Enrollment ID: I20100521000714 |
Provider Name | Garry Lee Brady |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1457513764 PECOS PAC ID: 5799931705 Enrollment ID: I20140509001308 |
Sheets Family Practice P.c. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 S Mckinley Ave, Rensselaer, IN 47978 Phone: 219-866-1890 Fax: 219-866-1871 | |
Liberty Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1103 E Grace St, Rensselaer, IN 47978 Phone: 219-866-4135 Fax: 219-866-0803 | |
Robert E Darnaby Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 W Washington St, Rensselaer, IN 47978 Phone: 219-866-4135 Fax: 219-866-0803 | |