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1025 Manchester Ave Wabash IN 46992-1425 | |
(260) 563-7421 | |
(260) 563-7725 |
Full Name | |
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Speciality | Family Medicine |
Location | 1025 Manchester Ave, Wabash, Indiana |
Authorized Official Name and Position | Jane M Bissel (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2605692247 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1025 Manchester Ave Wabash IN 46992-1425 Ph: (260) 563-7421 | 1025 Manchester Ave Wabash IN 46992-1425 Ph: (260) 563-7421 |
NPI Number | 1730494840 |
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Provider Enumeration Date | 08/12/2010 |
Last Update Date | 10/14/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730494840 | NPI | - | NPPES |
100270190 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Nustart, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 797 S Wabash St, Wabash, IN 46992 Phone: 260-330-9291 Fax: 260-330-1234 | |
Nustart Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 797 S Wabash St, Wabash, IN 46992 Phone: 260-563-0700 Fax: 260-274-0135 | |
American Health Network Of Indiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 276 Manchester Ave, Wabash, IN 46992 Phone: 260-563-2126 Fax: 260-563-2120 | |