| Chs Health And Diagnostic Center Of Upland | |
|
1809 S Main St Upland IN 46989 | |
| (765) 998-6200 | |
| (765) 998-6204 |
| Full Name | Chs Health And Diagnostic Center Of Upland |
|---|---|
| Speciality | Family Medicine |
| Location | 1809 S Main St, Upland, Indiana |
| Authorized Official Name and Position | Jan Vangets (COO PHYSICIAN NETWORK SERVICES) |
| Authorized Official Contact | 7657513311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chs Health And Diagnostic Center Of Upland Po Box 690 Upland IN 46989-0690 Ph: (765) 998-6200 | Chs Health And Diagnostic Center Of Upland 1809 S Main St Upland IN 46989 Ph: (765) 998-6200 |
| NPI Number | 1962433763 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962433763 | NPI | - | NPPES |
| 200132640A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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