Dekalb Health Medical Group-garrett | |
128 N Randolph St Garrett IN 46738-1138 | |
(260) 357-6557 | |
(260) 357-0373 |
Full Name | Dekalb Health Medical Group-garrett |
---|---|
Speciality | Family Medicine |
Location | 128 N Randolph St, Garrett, Indiana |
Authorized Official Name and Position | Penny Lynn Griffin (BILLING COLLECTION MANAGER) |
Authorized Official Contact | 2609202794 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dekalb Health Medical Group-garrett Po Box 623 Auburn IN 46706-0623 Ph: (260) 357-6557 | Dekalb Health Medical Group-garrett 128 N Randolph St Garrett IN 46738-1138 Ph: (260) 357-6557 |
NPI Number | 1508937376 |
---|---|
Provider Enumeration Date | 11/13/2006 |
Last Update Date | 01/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508937376 | NPI | - | NPPES |
100104110E | Medicaid | IN | |
CC4531 | Other | IN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |