| |
5501 W Bethel Ave Muncie IN 47304-8513 | |
(765) 747-2950 | |
(765) 747-2995 |
Full Name | |
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Speciality | Family Medicine |
Location | 5501 W Bethel Ave, Muncie, Indiana |
Authorized Official Name and Position | Jan Vangets (COO PHYSICIAN NETWORK SERVICES) |
Authorized Official Contact | 7657513311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5501 W Bethel Ave Muncie IN 47304-8513 Ph: (765) 747-2950 | 5501 W Bethel Ave Muncie IN 47304-8513 Ph: (765) 747-2950 |
NPI Number | 1396776639 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396776639 | NPI | - | NPPES |
100106900A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Meridian Health Services Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 N Walnut St # 1, Muncie, IN 47305 Phone: 765-288-1928 | |
Meridian Health Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 W Jackson St, Muncie, IN 47303 Phone: 765-288-1928 Fax: 765-741-0362 | |
Open Door Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2600 W White River Blvd, Muncie, IN 47303 Phone: 765-286-7000 | |