| Mp Health Pc | |
|
1178 Fremont Ct Ste 1b Elkhart IN 46516-9321 | |
| (574) 218-6512 | |
| (574) 293-7004 |
| Full Name | Mp Health Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1178 Fremont Ct Ste 1b, Elkhart, Indiana |
| Authorized Official Name and Position | Mark Alan Schneider (PRESIDENT) |
| Authorized Official Contact | 5745363260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mp Health Pc 1178 Fremont Ct Ste 1b Elkhart IN 46516-9321 Ph: (574) 536-3260 | Mp Health Pc 1178 Fremont Ct Ste 1b Elkhart IN 46516-9321 Ph: (574) 218-6512 |
| NPI Number | 1871202341 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 11/23/2022 |
| Medicare PECOS PAC ID | 5991174138 |
|---|---|
| Medicare Enrollment ID | O20221212000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871202341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kristine M Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437309838 PECOS PAC ID: 0648329086 Enrollment ID: I20090514000306 |
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