| Floyd Memorial Family Medicine | |
|
5300 State Road 64 Floyd Memorial Family Medicine Georgetown IN 47122-9178 | |
| (812) 923-4200 | |
| (812) 923-4203 |
| Full Name | Floyd Memorial Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 5300 State Road 64, Georgetown, Indiana |
| Authorized Official Name and Position | Edward W. Miller (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8129495500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Floyd Memorial Family Medicine 3844 Reliable Parkway Floyd Memorial Family Medicine Chicago IL 60686-0038 Ph: (812) 949-5482 | Floyd Memorial Family Medicine 5300 State Road 64 Floyd Memorial Family Medicine Georgetown IN 47122-9178 Ph: (812) 923-4200 |
| NPI Number | 1396783239 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 06/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396783239 | NPI | - | NPPES |
| 1001Z8520A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Community Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5300 State Road 64 Ste 101, Georgetown, IN 47122 Phone: 812-590-1600 Fax: 812-590-6561 |