| Clinic Of Family Medicine | |
|
1103 E Grace St Rensselaer IN 47978-3210 | |
| (219) 866-4135 | |
| (219) 866-7047 |
| Full Name | Clinic Of Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1103 E Grace St, Rensselaer, Indiana |
| Authorized Official Name and Position | Martha L Miller (DIRECTOR OF BILLING) |
| Authorized Official Contact | 7654465417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic Of Family Medicine Po Box 4699 Lafayette IN 47903-4699 Ph: (765) 449-2732 | Clinic Of Family Medicine 1103 E Grace St Rensselaer IN 47978-3210 Ph: (219) 866-4135 |
| NPI Number | 1467730606 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 03/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467730606 | NPI | - | NPPES |
| 200476110 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Indiana) | Primary |
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 | |
Christian Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 716 S College Ave, Rensselaer, IN 47978 Phone: 219-866-0485 Fax: 219-866-0837 | |
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 |