| |
720 N Lincoln St Greensburg IN 47240-1327 | |
(812) 663-4331 | |
(812) 663-9738 |
Full Name | |
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Speciality | General Practice |
Location | 720 N Lincoln St, Greensburg, Indiana |
Authorized Official Name and Position | Rex Mckinney (PRESIDENT/CEO) |
Authorized Official Contact | 8126631170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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720 N Lincoln St Greensburg IN 47240-1327 Ph: (812) 663-4331 | 720 N Lincoln St Greensburg IN 47240-1327 Ph: (812) 663-4331 |
NPI Number | 1619193505 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 03/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619193505 | NPI | - | NPPES |
100268720A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 005057-1 (Indiana) | Primary |
Decatur County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 N Lincoln St, Greensburg, IN 47240 Phone: 812-663-4331 | |
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