Pence-davis Medical Center | |
2651 S 800 W Swayzee IN 46986-9615 | |
(765) 922-7056 | |
(765) 922-7059 |
Full Name | Pence-davis Medical Center |
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Speciality | Family Medicine |
Location | 2651 S 800 W, Swayzee, Indiana |
Authorized Official Name and Position | Paul Usher L (PRESIDENT/CEO) |
Authorized Official Contact | 7656624776 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pence-davis Medical Center 1251 W Kem Rd Suite E Marion IN 46952-2555 Ph: (765) 662-4133 | Pence-davis Medical Center 2651 S 800 W Swayzee IN 46986-9615 Ph: (765) 922-7056 |
NPI Number | 1588717813 |
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Provider Enumeration Date | 01/19/2007 |
Last Update Date | 02/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588717813 | NPI | - | NPPES |
100269250 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |