| Dch Medical Clinic | |
|
1402 Grand Ave Washington IN 47501-2122 | |
| (812) 254-6696 | |
| (812) 254-7934 |
| Full Name | Dch Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1402 Grand Ave, Washington, Indiana |
| Authorized Official Name and Position | Anthony Showalter (BOARD OF DIRECTORS) |
| Authorized Official Contact | 8122548620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dch Medical Clinic 1402 Grand Ave Washington IN 47501-2122 Ph: (812) 254-6696 | Dch Medical Clinic 1402 Grand Ave Washington IN 47501-2122 Ph: (812) 254-6696 |
| NPI Number | 1831257203 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 01/02/2021 |
| Medicare PECOS PAC ID | 1557271665 |
|---|---|
| Medicare Enrollment ID | O20030620000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831257203 | NPI | - | NPPES |
| 100270240B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 02000363A (Indiana) | Primary |
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Memorial Health Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S State Road 57, Suite A, Washington, IN 47501 Phone: 812-257-1052 Fax: 812-257-1061 | |
Grand Avenue Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1402 Grand Ave, Washington, IN 47501 Phone: 812-257-0383 Fax: 812-257-0433 | |
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