Imh Kentland Clinic | |
303 N 7th St Kentland IN 47951-1379 | |
(219) 474-5464 | |
(219) 474-3603 |
Full Name | Imh Kentland Clinic |
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Speciality | Clinic/Center |
Location | 303 N 7th St, Kentland, Indiana |
Authorized Official Name and Position | Timothy L Smith (COO) |
Authorized Official Contact | 81584327967 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Imh Kentland Clinic 303 N 7th St Kentland IN 47951-1379 Ph: (219) 474-5464 | Imh Kentland Clinic 303 N 7th St Kentland IN 47951-1379 Ph: (219) 474-5464 |
NPI Number | 1467470906 |
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Provider Enumeration Date | 07/17/2006 |
Last Update Date | 01/17/2017 |
Medicare PECOS PAC ID | 4385551258 |
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Medicare Enrollment ID | O20100624000397 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467470906 | NPI | - | NPPES |
200133940A | Medicaid | IN | |
0003815082 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Proactive Md South Newton Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13188 S 50 E, Kentland, IN 47951 Phone: 812-645-1892 |