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3581 Central Ave Columbus IN 47203-2036 | |
| (812) 372-0137 | |
| (812) 372-1304 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 3581 Central Ave, Columbus, Indiana |
| Authorized Official Name and Position | John R Alessi (PRESIDENT) |
| Authorized Official Contact | 8129882223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3581 Central Ave Columbus IN 47203-2036 Ph: (812) 372-0137 | 3581 Central Ave Columbus IN 47203-2036 Ph: (812) 372-0137 |
| NPI Number | 1437253994 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437253994 | NPI | - | NPPES |
| 100176320A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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