| Community Care West | |
|
101 S Liberty St Russiaville IN 46979-9125 | |
| (765) 453-0702 | |
| (765) 864-8711 |
| Full Name | Community Care West |
|---|---|
| Speciality | Clinic/center |
| Location | 101 S Liberty St, Russiaville, Indiana |
| Authorized Official Name and Position | Theodore T. Brown (COO) |
| Authorized Official Contact | 7654538456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care West 3500 S Lafountain St Kokomo IN 46902-3803 Ph: (765) 453-8456 | Community Care West 101 S Liberty St Russiaville IN 46979-9125 Ph: (765) 453-0702 |
| NPI Number | 1902194491 |
|---|---|
| Provider Enumeration Date | 07/18/2011 |
| Last Update Date | 07/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902194491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 11-005007-1 (Indiana) | Primary |
American Health Network Of Indiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S. Liberty Street, Russiaville, IN 46979 Phone: 765-883-2273 Fax: 765-883-5168 | |
Meridian Health Services Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 County Road 600 W, Rm Sg-1, Russiaville, IN 46979 Phone: 765-288-1928 |