| Grogan Family Medicine Llc | |
|
3024 Ohio Ave Connersville IN 47331-3073 | |
| (765) 222-1400 | |
| (866) 873-8524 |
| Full Name | Grogan Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3024 Ohio Ave, Connersville, Indiana |
| Authorized Official Name and Position | Terence M Grogan (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7658271800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grogan Family Medicine Llc 3024 Ohio Ave Connersville IN 47331-3073 Ph: (765) 222-1400 | Grogan Family Medicine Llc 3024 Ohio Ave Connersville IN 47331-3073 Ph: (765) 222-1400 |
| NPI Number | 1316591829 |
|---|---|
| Provider Enumeration Date | 08/01/2019 |
| Last Update Date | 09/09/2019 |
| Medicare PECOS PAC ID | 0345570032 |
|---|---|
| Medicare Enrollment ID | O20190923002774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316591829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Terence Grogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427163492 PECOS PAC ID: 0648284323 Enrollment ID: I20180706001288 |
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