| Indiana Healthcare Physician Services, Inc | |
|
640 Kolter Dr Indiana PA 15701-3570 | |
| (724) 357-7196 | |
| (724) 357-7279 |
| Full Name | Indiana Healthcare Physician Services, Inc |
|---|---|
| Speciality | Radiology - Radiation Oncology |
| Location | 640 Kolter Dr, Indiana, Pennsylvania |
| Authorized Official Name and Position | Brett J Brett (C.O.O.) |
| Authorized Official Contact | 7243578230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Healthcare Physician Services, Inc 640 Kolter Dr Indiana PA 15701-3570 Ph: (724) 357-7196 | Indiana Healthcare Physician Services, Inc 640 Kolter Dr Indiana PA 15701-3570 Ph: (724) 357-7196 |
| NPI Number | 1417409186 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 03/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417409186 | NPI | - | NPPES |
| 0017702500010 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | (* (Not Available)) | Primary |
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