Hometown Healthcare Pc | |
955 High St Ste 2 Decatur IN 46733-2326 | |
(260) 724-8700 | |
(260) 728-3821 |
Full Name | Hometown Healthcare Pc |
---|---|
Speciality | Family Medicine |
Location | 955 High St, Decatur, Indiana |
Authorized Official Name and Position | Michael E Ainsworth (SOLE PROPRIETOR) |
Authorized Official Contact | 2067248700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hometown Healthcare Pc 955 High St Ste 2 Decatur IN 46733-2326 Ph: (260) 724-8700 | Hometown Healthcare Pc 955 High St Ste 2 Decatur IN 46733-2326 Ph: (260) 724-8700 |
NPI Number | 1558409698 |
---|---|
Provider Enumeration Date | 02/01/2007 |
Last Update Date | 11/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558409698 | NPI | - | NPPES |
000000105448 | Other | IN | ANTHEM |
20274870A | Medicaid | IN | |
9132 | Other | IN | PHP |
080154120 | Other | IN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01045263A (Indiana) | Primary |
363L00000X | Nurse Practitioner | 71001926A (Indiana) | Secondary |
Keith A. Harvey Md; Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 955 High St, Ste 1, Decatur, IN 46733 Phone: 260-724-2145 Fax: 260-728-3858 | |
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