Community Medical Center Llc | |
5300 State Road 64 Ste 101 Georgetown IN 47122-9178 | |
(812) 590-1600 | |
(812) 590-6561 |
Full Name | Community Medical Center Llc |
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Speciality | Clinic/Center |
Location | 5300 State Road 64 Ste 101, Georgetown, Indiana |
Authorized Official Name and Position | Syed Bokhari (PRACTICE MANAGER) |
Authorized Official Contact | 8125901600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Medical Center Llc 5300 State Road 64 Ste 101 Georgetown IN 47122-9178 Ph: (812) 590-1600 | Community Medical Center Llc 5300 State Road 64 Ste 101 Georgetown IN 47122-9178 Ph: (812) 590-1600 |
NPI Number | 1891311791 |
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Provider Enumeration Date | 06/17/2020 |
Last Update Date | 06/17/2020 |
Medicare PECOS PAC ID | 2466879002 |
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Medicare Enrollment ID | O20200827003757 |
Identifier | Type | State | Issuer |
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1891311791 | NPI | - | NPPES |
Provider Name | Hammad H Bokhari |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104832161 PECOS PAC ID: 3678532678 Enrollment ID: I20051114001026 |
Provider Name | Treasa A Grangier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821340506 PECOS PAC ID: 8022260561 Enrollment ID: I20121210000321 |
Provider Name | Agustin Ramirez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982963740 PECOS PAC ID: 1153568175 Enrollment ID: I20160201002810 |
Floyd Memorial Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 State Road 64, Floyd Memorial Family Medicine, Georgetown, IN 47122 Phone: 812-923-4200 Fax: 812-923-4203 |