Family Health Clinic Of Wolcott | |
128 W Market St Wolcott IN 47995-8130 | |
(219) 747-2067 | |
(219) 747-2068 |
Full Name | Family Health Clinic Of Wolcott |
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Speciality | Clinic/Center |
Location | 128 W Market St, Wolcott, 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 |
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Family Health Clinic Of Wolcott 901 Prince William Rd Suite A Delphi IN 46923-1758 Ph: (765) 564-3016 | Family Health Clinic Of Wolcott 128 W Market St Wolcott IN 47995-8130 Ph: (219) 747-2067 |
NPI Number | 1598111791 |
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Provider Enumeration Date | 05/06/2016 |
Last Update Date | 04/18/2022 |
Medicare PECOS PAC ID | 2567373012 |
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Medicare Enrollment ID | O20160902000433 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598111791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Wolcott Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 W Market Street, Wolcott, IN 47995 Phone: 219-279-2264 Fax: 219-279-2279 |