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4090 Main Street Southeast New Middletown IN 47160 | |
(812) 968-3800 | |
(812) 968-3800 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 4090 Main Street Southeast, New Middletown, Indiana |
Authorized Official Name and Position | Mary A Dowell (BILLING MANAGER) |
Authorized Official Contact | 8129683800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 338 New Middletown IN 47160-0338 Ph: (812) 968-3800 | 4090 Main Street Southeast New Middletown IN 47160 Ph: (812) 968-3800 |
NPI Number | 1366657959 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 02/28/2008 |
Identifier | Type | State | Issuer |
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1366657959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (Indiana) | Primary |