| Concord Family Medicine Pc | |
|
25651 County Road 20 Elkhart IN 46517-2310 | |
| (574) 522-1201 | |
| Not Available |
| Full Name | Concord Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 25651 County Road 20, Elkhart, Indiana |
| Authorized Official Name and Position | Rosemary Planera (PRATICE MANAGER) |
| Authorized Official Contact | 5745221201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Family Medicine Pc 25651 County Road 20 Elkhart IN 46517-2310 Ph: (574) 522-1201 | Concord Family Medicine Pc 25651 County Road 20 Elkhart IN 46517-2310 Ph: (574) 522-1201 |
| NPI Number | 1558462101 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558462101 | NPI | - | NPPES |
| 100113550A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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