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401 Central Ave Connersville IN 47331 | |
(765) 825-4013 | |
(765) 825-7189 |
Full Name | |
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Speciality | Clinic/Center |
Location | 401 Central Ave, Connersville, Indiana |
Authorized Official Name and Position | Wayne B White (FAYETTE COUNTY HEALTH OFFICER) |
Authorized Official Contact | 7658250511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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401 Central Ave Connersville IN 47331 Ph: (765) 825-4013 | 401 Central Ave Connersville IN 47331 Ph: (765) 825-4013 |
NPI Number | 1356368104 |
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Provider Enumeration Date | 07/17/2006 |
Last Update Date | 03/19/2015 |
Medicare PECOS PAC ID | 9638261068 |
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Medicare Enrollment ID | O20070815000420 |
Identifier | Type | State | Issuer |
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1356368104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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