| Huntington Medical Group Pc | |
|
1601 N Jefferson St Huntington IN 46750-1404 | |
| (260) 356-4005 | |
| (260) 356-3501 |
| Full Name | Huntington Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1601 N Jefferson St, Huntington, Indiana |
| Authorized Official Name and Position | John C. Mathew (OWNER) |
| Authorized Official Contact | 2603564005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntington Medical Group Pc 1601 N Jefferson St Huntington IN 46750-1404 Ph: (260) 356-4005 | Huntington Medical Group Pc 1601 N Jefferson St Huntington IN 46750-1404 Ph: (260) 356-4005 |
| NPI Number | 1467631945 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 10/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467631945 | NPI | - | NPPES |
| 200926830 | Medicaid | IN | |
| 110016196 | Other | IN | TRAVELERS MEDICARE |
| 100138210A | Medicaid | IN | |
| 110247671 | Other | IN | TRAVELERS MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01035103A (Indiana) | Primary |
| 207R00000X | Internal Medicine | 01053659A (Indiana) | Secondary |
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