| Family Medicine Center Of Plymouth Pc | |
|
1904 Lake Ave Plymouth IN 46563-7828 | |
| (574) 936-3178 | |
| (574) 936-1084 |
| Full Name | Family Medicine Center Of Plymouth Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 1904 Lake Ave, Plymouth, Indiana |
| Authorized Official Name and Position | Harold A Barnard (PRESIDENT) |
| Authorized Official Contact | 5749363178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Center Of Plymouth Pc 1904 Lake Ave P O Box 969 Plymouth IN 46563-7828 Ph: (574) 936-3178 | Family Medicine Center Of Plymouth Pc 1904 Lake Ave Plymouth IN 46563-7828 Ph: (574) 936-3178 |
| NPI Number | 1942355466 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 01/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942355466 | NPI | - | NPPES |
| 000000093835 | Other | IN | ANTHEM BCBS |
| 20029880 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 02001552 (Indiana) | Primary |
Byron M. Holm, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2855 Miller Dr, Suite 117, Plymouth, IN 46563 Phone: 574-936-7777 Fax: 574-941-1072 | |
Proactive Md Plymouth Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Colonial Ct, Plymouth, IN 46563 Phone: 812-645-1892 | |
Lifeplex Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2855 Miller Dr Ste 117, Plymouth, IN 46563 Phone: 574-936-7777 Fax: 574-941-1072 | |
Saint Joseph Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2349 Lake Ave Ste 99, Plymouth, IN 46563 Phone: 574-948-5340 Fax: 574-948-5494 | |
Family Medicine Center Of Plymouth Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Water St, Plymouth, IN 46563 Phone: 574-936-3178 Fax: 574-936-1084 | |
Holm Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2855 Miller Dr Ste 205, Plymouth, IN 46563 Phone: 574-286-0200 | |
Saint Joseph Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1919 Lake Ave Ste 102b, Plymouth, IN 46563 Phone: 574-335-6800 Fax: 574-948-5480 |