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112 N Buckeye St Osgood IN 47037-1134 | |
(812) 689-3424 | |
(812) 689-1157 |
Full Name | |
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Speciality | Clinic/Center |
Location | 112 N Buckeye St, Osgood, Indiana |
Authorized Official Name and Position | Brian Daeger (CFO) |
Authorized Official Contact | 8129335135 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 236 Batesville IN 47006-0236 Ph: (812) 933-5441 | 112 N Buckeye St Osgood IN 47037-1134 Ph: (812) 689-3424 |
NPI Number | 1083959472 |
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Provider Enumeration Date | 12/11/2012 |
Last Update Date | 01/03/2020 |
Medicare PECOS PAC ID | 5193714335 |
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Medicare Enrollment ID | O20121113000739 |
Identifier | Type | State | Issuer |
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1083959472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Indiana) | Primary |