| Community Health Center Of Miami County | |
|
661 E Main St Peru IN 46970-2662 | |
| (765) 472-2519 | |
| (844) 397-1309 |
| Full Name | Community Health Center Of Miami County |
|---|---|
| Speciality | Clinic/Center |
| Location | 661 E Main St, Peru, Indiana |
| Authorized Official Name and Position | Tracy J Nagel (CFO) |
| Authorized Official Contact | 3175761335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Miami County 8003 Castleway Dr Indianapolis IN 46250-1946 Ph: (317) 576-1335 | Community Health Center Of Miami County 661 E Main St Peru IN 46970-2662 Ph: (765) 472-2519 |
| NPI Number | 1336373190 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 02/01/2017 |
| Medicare PECOS PAC ID | 3971599473 |
|---|---|
| Medicare Enrollment ID | O20090629000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336373190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 000000000 (Indiana) | Primary |
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