Crawford County Family Health Care | |
5604 E White Oak Ln Marengo IN 47140-8413 | |
(812) 365-3221 | |
(812) 365-9502 |
Full Name | Crawford County Family Health Care |
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Speciality | Clinic/Center |
Location | 5604 E White Oak Ln, Marengo, Indiana |
Authorized Official Name and Position | Nancy Radcliff (CEO) |
Authorized Official Contact | 8127237118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crawford County Family Health Care Po Box 270 Paoli IN 47454-0270 Ph: (812) 723-7118 | Crawford County Family Health Care 5604 E White Oak Ln Marengo IN 47140-8413 Ph: (812) 365-3221 |
NPI Number | 1902313992 |
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Provider Enumeration Date | 12/29/2017 |
Last Update Date | 12/13/2022 |
Medicare PECOS PAC ID | 5799694360 |
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Medicare Enrollment ID | O20180216001031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902313992 | NPI | - | NPPES |
200122740A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Indiana) | Primary |
Crawford County Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5604 E White Oak Ln, Marengo, IN 47140 Phone: 812-365-3221 Fax: 812-365-9502 |