| New Carlisle Family Medicine | |
|
8988 E Us Highway 20 New Carlisle IN 46552-9038 | |
| (574) 654-7779 | |
| (574) 654-7780 |
| Full Name | New Carlisle Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 8988 E Us Highway 20, New Carlisle, Indiana |
| Authorized Official Name and Position | Rhonda Volk (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2193262485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Carlisle Family Medicine Po Box 1690 La Porte IN 46352-1690 Ph: (219) 326-2312 | New Carlisle Family Medicine 8988 E Us Highway 20 New Carlisle IN 46552-9038 Ph: (574) 654-7779 |
| NPI Number | 1336250737 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336250737 | NPI | - | NPPES |
| 100165070W | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Proactive Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5325 N Cougar Rd, New Carlisle, IN 46552 Phone: 864-501-0751 |