| Christian Clinic Pc | |
|
716 S College Ave Rensselaer IN 47978-3083 | |
| (219) 866-0485 | |
| (219) 866-0837 |
| Full Name | Christian Clinic Pc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/17/2014 |
| Last Update Date | 09/14/2015 |
| Medicare PECOS PAC ID | 1759682552 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801882345 PECOS PAC ID: 0042287021 Enrollment ID: I20050722000663 |
| Provider Name | Stephen K Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609879675 PECOS PAC ID: 2567591019 Enrollment ID: I20100521000714 |
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 | |
Clinic Of Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 E Grace St, Rensselaer, IN 47978 Phone: 219-866-4135 Fax: 219-866-7047 | |
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 | |
Louck Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4300 Fax: 219-866-7591 |