| Knightstown Healthcare Center | |
|
437 N Mccullum St Knightstown IN 46148-1138 | |
| (765) 345-5572 | |
| (317) 468-6148 |
| Full Name | Knightstown Healthcare Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 437 N Mccullum St, Knightstown, Indiana |
| Authorized Official Name and Position | Rick Edwards (CFO) |
| Authorized Official Contact | 3174684400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knightstown Healthcare Center 801 N State St Greenfield IN 46140-1270 Ph: (317) 462-5544 | Knightstown Healthcare Center 437 N Mccullum St Knightstown IN 46148-1138 Ph: (765) 345-5572 |
| NPI Number | 1942233598 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/26/2014 |
| Medicare PECOS PAC ID | 1850205162 |
|---|---|
| Medicare Enrollment ID | O20060306000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942233598 | NPI | - | NPPES |
| 200156500A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
State Of Indiana Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10892 N State Road 140, Knightstown, IN 46148 Phone: 765-345-5141 Fax: 765-345-7412 |