| French Lick Family Medicine | |
|
679 S State Road 145 French Lick IN 47432-8328 | |
| (812) 936-6400 | |
| (812) 936-6402 |
| Full Name | French Lick Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 679 S State Road 145, French Lick, Indiana |
| Authorized Official Name and Position | Edward Kyle Bennett (PRESIDENT/CEO) |
| Authorized Official Contact | 8129960507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| French Lick Family Medicine Po Box 1028 Jasper IN 47547-1028 Ph: (812) 996-8478 | French Lick Family Medicine 679 S State Road 145 French Lick IN 47432-8328 Ph: (812) 936-6400 |
| NPI Number | 1881843522 |
|---|---|
| Provider Enumeration Date | 09/18/2008 |
| Last Update Date | 12/08/2020 |
| Medicare PECOS PAC ID | 4587578042 |
|---|---|
| Medicare Enrollment ID | O20081113000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881843522 | NPI | - | NPPES |
| 200048850V | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Valley Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9529 W State Road 56, French Lick, IN 47432 Phone: 812-936-2425 Fax: 812-936-2599 | |
Marion L. Hagan M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 567 S Maple St, French Lick, IN 47432 Phone: 812-936-4515 Fax: 812-936-4536 | |
Valley Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9529 W State Road 56, French Lick, IN 47432 Phone: 812-936-2425 Fax: 812-936-2599 |