| Demotte Physicians Inc. | |
|
520 8th Ave Ne Demotte IN 46310-9108 | |
| (219) 987-3581 | |
| (219) 987-7137 |
| Full Name | Demotte Physicians Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 520 8th Ave Ne, Demotte, Indiana |
| Authorized Official Name and Position | David Vander Lugt (PRESIDENT) |
| Authorized Official Contact | 2199873581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Demotte Physicians Inc. Po Box 20 Demotte IN 46310-0020 Ph: (219) 987-3581 | Demotte Physicians Inc. 520 8th Ave Ne Demotte IN 46310-9108 Ph: (219) 987-3581 |
| NPI Number | 1396780573 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396780573 | NPI | - | NPPES |
| 000000082478 | Other | IN | BLUE CROSS/BLUE SHIELD |
| 200489280A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Northshore Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 3rd Ct Se, Demotte, IN 46310 Phone: 219-763-8112 | |
Connection Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 15th St. Se, Demotte, IN 46310 Phone: 219-987-4280 | |
Leestma Medical Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 519 N Halleck St, Demotte, IN 46310 Phone: 219-987-7750 Fax: 219-987-5750 | |
Surya K Nallari Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 10th St Sw, Demotte, IN 46310 Phone: 219-987-6010 | |
Northshore Health Centers, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 3rd Ct Se, Demotte, IN 46310 Phone: 219-763-8112 Fax: 219-764-5333 |