Manchester Clinic, Llc | |
1104 N Wayne St North Manchester IN 46962-1001 | |
(260) 982-2102 | |
Not Available |
Full Name | Manchester Clinic, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 1104 N Wayne St, North Manchester, Indiana |
Authorized Official Name and Position | Betty J Mclain (OFFICE MANAGER) |
Authorized Official Contact | 2609822102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Manchester Clinic, Llc Po Box 30 North Manchester IN 46962-0030 Ph: (260) 982-2102 | Manchester Clinic, Llc 1104 N Wayne St North Manchester IN 46962-1001 Ph: (260) 982-2102 |
NPI Number | 1265506596 |
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Provider Enumeration Date | 11/20/2006 |
Last Update Date | 01/16/2008 |
Identifier | Type | State | Issuer |
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1265506596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |