| Monroe Co. School Corporation | |
|
524 N Fairview St Bloomington IN 47404-3774 | |
| (812) 330-7837 | |
| Not Available |
| Full Name | Monroe Co. School Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 524 N Fairview St, Bloomington, Indiana |
| Authorized Official Name and Position | Jeffery Kirkham (CFO) |
| Authorized Official Contact | 3173555822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe Co. School Corporation 524 N. Fairview St Bloomington IN 47404-0000 Ph: (812) 330-7837 | Monroe Co. School Corporation 524 N Fairview St Bloomington IN 47404-3774 Ph: (812) 330-7837 |
| NPI Number | 1306147236 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306147236 | NPI | - | NPPES |
| 524 | Other | IN | ADDRESS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10-0050681 (Indiana) | Primary |
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