Westport Clinic | |
308 E Mulberry St Westport IN 47283-9369 | |
(812) 222-3627 | |
(812) 663-1155 |
Full Name | Westport Clinic |
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Speciality | Clinic/center - Primary Care |
Location | 308 E Mulberry St, Westport, Indiana |
Authorized Official Name and Position | Catherine Keck (CFO) |
Authorized Official Contact | 8126631172 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Westport Clinic 308 E Mulberry St Westport IN 47283-9369 Ph: (812) 222-3627 | Westport Clinic 308 E Mulberry St Westport IN 47283-9369 Ph: (812) 222-3627 |
NPI Number | 1093712887 |
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Provider Enumeration Date | 07/07/2005 |
Last Update Date | 02/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093712887 | NPI | - | NPPES |
200220600B | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |