| |
201 Lincoln Way W Mishawaka IN 46544-1905 | |
(574) 252-3699 | |
(574) 252-3698 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 201 Lincoln Way W, Mishawaka, Indiana |
Authorized Official Name and Position | Lori Price (PRESIDENT) |
Authorized Official Contact | 5742523699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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201 Lincoln Way W Mishawaka IN 46544-1905 Ph: (574) 252-3699 | 201 Lincoln Way W Mishawaka IN 46544-1905 Ph: (574) 252-3699 |
NPI Number | 1235202573 |
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Provider Enumeration Date | 11/16/2006 |
Last Update Date | 07/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235202573 | NPI | - | NPPES |
100467030A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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