| Fowler Medical Clinic | |
|
801 E 5th St Fowler IN 47944-1568 | |
| (765) 884-1330 | |
| Not Available |
| Full Name | Fowler Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 801 E 5th St, Fowler, Indiana |
| Authorized Official Name and Position | Raymond Petrie (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7658841330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fowler Medical Clinic 801 E 5th St Fowler IN 47944-1568 Ph: (765) 884-1330 | Fowler Medical Clinic 801 E 5th St Fowler IN 47944-1568 Ph: (765) 884-1330 |
| NPI Number | 1932376886 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932376886 | NPI | - | NPPES |
| 390690 | Other | IN | MEDICARE |
| 200085460 | Medicaid | IN | |
| 100142830 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0131474 (Indiana) | Primary |
Benton Health & Wellness Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 E 2nd St, Fowler, IN 47944 Phone: 765-885-2341 Fax: 765-884-1022 | |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 E 2nd St Ste A, Fowler, IN 47944 Phone: 866-808-6005 |