Family Health Clinic Of Burlington | |
425 E 5th Street Suite B Burlington IN 46915 | |
(765) 564-3016 | |
(765) 564-2608 |
Full Name | Family Health Clinic Of Burlington |
---|---|
Speciality | Clinic/Center |
Location | 425 E 5th Street, Burlington, Indiana |
Authorized Official Name and Position | Daniel J Layman (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7655643016 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Family Health Clinic Of Burlington 901 Prince William Rd Suite A Delphi IN 46923-1758 Ph: (765) 564-3016 | Family Health Clinic Of Burlington 425 E 5th Street Suite B Burlington IN 46915 Ph: (765) 564-3016 |
NPI Number | 1295104669 |
---|---|
Provider Enumeration Date | 09/16/2015 |
Last Update Date | 04/18/2022 |
Medicare PECOS PAC ID | 2567373012 |
---|---|
Medicare Enrollment ID | O20160226001154 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295104669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Wagoner Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 East 7th Street, Burlington, IN 46915 Phone: 765-566-3351 Fax: 765-566-2250 |