| Holm Medical Clinic Inc | |
|
2855 Miller Dr Ste 205 Plymouth IN 46563-8093 | |
| (574) 286-0200 | |
| Not Available |
| Full Name | Holm Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2855 Miller Dr Ste 205, Plymouth, Indiana |
| Authorized Official Name and Position | Byron M Holm (PRESIDENT) |
| Authorized Official Contact | 5742860200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holm Medical Clinic Inc 2855 Miller Drive, Ste 205 Plymouth IN 46563-8093 Ph: (574) 780-3312 | Holm Medical Clinic Inc 2855 Miller Dr Ste 205 Plymouth IN 46563-8093 Ph: (574) 286-0200 |
| NPI Number | 1427799535 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 05/03/2022 |
| Medicare PECOS PAC ID | 8022405208 |
|---|---|
| Medicare Enrollment ID | O20220419001409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427799535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740275197 PECOS PAC ID: 7113077843 Enrollment ID: I20090618000078 |
| Provider Name | Byron M Holm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538154018 PECOS PAC ID: 8224012018 Enrollment ID: I20090622000057 |
Byron M. Holm, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2855 Miller Dr, Suite 117, Plymouth, IN 46563 Phone: 574-936-7777 Fax: 574-941-1072 | |
Proactive Md Plymouth Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Colonial Ct, Plymouth, IN 46563 Phone: 812-645-1892 | |
Lifeplex Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2855 Miller Dr Ste 117, Plymouth, IN 46563 Phone: 574-936-7777 Fax: 574-941-1072 | |
Saint Joseph Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2349 Lake Ave Ste 99, Plymouth, IN 46563 Phone: 574-948-5340 Fax: 574-948-5494 | |
Family Medicine Center Of Plymouth Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Water St, Plymouth, IN 46563 Phone: 574-936-3178 Fax: 574-936-1084 | |
Saint Joseph Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1919 Lake Ave Ste 102b, Plymouth, IN 46563 Phone: 574-335-6800 Fax: 574-948-5480 |