| Jasper Family Physicians Pc | |
|
1950 Saint Charles St Suite 4 Jasper IN 47546-9172 | |
| (812) 482-9555 | |
| (812) 482-9073 |
| Full Name | Jasper Family Physicians Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1950 Saint Charles St, Jasper, Indiana |
| Authorized Official Name and Position | Dean E. Beckman (PRESIDENT/OWNER) |
| Authorized Official Contact | 8124829555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper Family Physicians Pc 1950 Saint Charles St Suite 4 Jasper IN 47546-2254 Ph: (812) 482-9555 | Jasper Family Physicians Pc 1950 Saint Charles St Suite 4 Jasper IN 47546-9172 Ph: (812) 482-9555 |
| NPI Number | 1023033909 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 11/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023033909 | NPI | - | NPPES |
| 000000182798 | Other | IN | ANTHEM BLUE CROSS |
| 100110790A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 50003215A (Indiana) | Primary |
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