| Nettle Creek Health Care Center Pc | |
|
4829 N State Road 1 Suite 1 Hagerstown IN 47346 | |
| (765) 489-4578 | |
| (765) 489-5135 |
| Full Name | Nettle Creek Health Care Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4829 N State Road 1, Hagerstown, Indiana |
| Authorized Official Name and Position | Kim M Weber (OWNER) |
| Authorized Official Contact | 7654894578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nettle Creek Health Care Center Pc Po Box 189 Hagerstown IN 47346 Ph: (765) 489-4578 | Nettle Creek Health Care Center Pc 4829 N State Road 1 Suite 1 Hagerstown IN 47346 Ph: (765) 489-4578 |
| NPI Number | 1700940061 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 11/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700940061 | NPI | - | NPPES |
| 200335270A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01045014 (Indiana) | Primary |
Hagerstown Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4829 N State Road 1, Hagerstown, IN 47346 Phone: 765-489-3935 Fax: 765-489-6344 |