| Daviess-martin Medical Clinic | |
|
12546 E Us Highway 50 Loogootee IN 47553-5220 | |
| (812) 295-5095 | |
| (812) 295-9403 |
| Full Name | Daviess-martin Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 12546 E Us Highway 50, Loogootee, Indiana |
| Authorized Official Name and Position | Anthony Showalter (BOARD MEMEBER) |
| Authorized Official Contact | 8122548620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daviess-martin Medical Clinic 12546 E Us Highway 50 Loogootee IN 47553-5220 Ph: (812) 295-5095 | Daviess-martin Medical Clinic 12546 E Us Highway 50 Loogootee IN 47553-5220 Ph: (812) 295-5095 |
| NPI Number | 1417015884 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 01/02/2021 |
| Medicare PECOS PAC ID | 1557271665 |
|---|---|
| Medicare Enrollment ID | O20120917000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417015884 | NPI | - | NPPES |
| 200837490A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 02000751A (Indiana) | Primary |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Brooks Ave, Loogootee, IN 47553 Phone: 812-494-9514 Fax: 812-494-9515 | |
Dr Rick D Bauer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 W Main St, Loogootee, IN 47553 Phone: 812-295-3163 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S John F Kennedy Ave, Loogootee, IN 47553 Phone: 812-295-3090 Fax: 812-295-4328 | |
Loogootee Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Cooper St, Loogootee, IN 47553 Phone: 812-295-2812 Fax: 812-295-3726 |