| |
707 W 3rd St Connersville IN 47331-1577 | |
(765) 827-1164 | |
(765) 825-0215 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 707 W 3rd St, Connersville, Indiana |
Authorized Official Name and Position | Gary Gates (MANAGER) |
Authorized Official Contact | 7652542685 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
240 N Tillotson Ave Muncie IN 47304-3988 Ph: (765) 288-1928 | 707 W 3rd St Connersville IN 47331-1577 Ph: (765) 827-1164 |
NPI Number | 1568944080 |
---|---|
Provider Enumeration Date | 08/31/2018 |
Last Update Date | 08/31/2018 |
Medicare PECOS PAC ID | 5597679845 |
---|---|
Medicare Enrollment ID | O20180924000726 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568944080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Skinsations Dermatherapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 746 Northside Ct, Connersville, IN 47331 Phone: 765-377-7039 Fax: 765-377-7189 | |
Skinsations Dermatherapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 746 Northside Ct, Connersville, IN 47331 Phone: 765-377-7039 | |
Grogan Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3024 Ohio Ave, Connersville, IN 47331 Phone: 765-222-1400 Fax: 866-873-8524 | |
Shiv Suman Kapoor Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1728 Virginia Ave, Connersville, IN 47331 Phone: 765-825-4044 Fax: 765-825-4110 | |