| Indiana University Health Jay, Inc. | |
|
400 Pilgrim Blvd Hartford City IN 47348-1382 | |
| (765) 348-5776 | |
| Not Available |
| Full Name | Indiana University Health Jay, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Pilgrim Blvd, Hartford City, Indiana |
| Authorized Official Name and Position | Jeffrey Bird (PRESIDENT) |
| Authorized Official Contact | 7657513251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana University Health Jay, Inc. 250 N Shadeland Ave Indianapolis IN 46219-4959 Ph: () - | Indiana University Health Jay, Inc. 400 Pilgrim Blvd Hartford City IN 47348-1382 Ph: (765) 348-5776 |
| NPI Number | 1447942420 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 05/25/2023 |
| Medicare PECOS PAC ID | 1355602483 |
|---|---|
| Medicare Enrollment ID | O20230609000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447942420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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