| Hawthorne Family Medicine | |
|
5508 E 16th Street Suite C-37 Indianapolis IN 46218-4931 | |
| (317) 355-2700 | |
| (317) 355-2929 |
| Full Name | Hawthorne Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 5508 E 16th Street, Indianapolis, Indiana |
| Authorized Official Name and Position | Jeffery Kirkham (CFO) |
| Authorized Official Contact | 3173555822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawthorne Family Medicine 5508 E 16th Street Suite C-37 Indianapolis IN 46218-4931 Ph: (317) 355-2700 | Hawthorne Family Medicine 5508 E 16th Street Suite C-37 Indianapolis IN 46218-4931 Ph: (317) 355-2700 |
| NPI Number | 1174549315 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 09/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174549315 | NPI | - | NPPES |
| 200326750B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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