Patoka Family Health Care | |
307 S Indiana Ave English IN 47118 | |
(812) 338-2924 | |
(812) 338-3706 |
Full Name | Patoka Family Health Care |
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Speciality | Clinic/Center |
Location | 307 S Indiana Ave, English, Indiana |
Authorized Official Name and Position | Nancy Radcliff (CEO) |
Authorized Official Contact | 8127237118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Patoka Family Health Care Po Box 270 Paoli IN 47454-0270 Ph: (812) 723-3944 | Patoka Family Health Care 307 S Indiana Ave English IN 47118 Ph: (812) 338-2924 |
NPI Number | 1629585591 |
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Provider Enumeration Date | 01/02/2018 |
Last Update Date | 12/06/2022 |
Medicare PECOS PAC ID | 5799694360 |
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Medicare Enrollment ID | O20180215001907 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629585591 | NPI | - | NPPES |
200164670A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Indiana) | Primary |
Patoka Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 S Indiana Ave, English, IN 47118 Phone: 812-338-2924 Fax: 812-338-3706 |