| Pendleton Medical Group | |
|
1251 Huntzinger Blvd Suite 100 Pendleton IN 46064-9493 | |
| (765) 298-4567 | |
| (765) 298-4567 |
| Full Name | Pendleton Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1251 Huntzinger Blvd, Pendleton, Indiana |
| Authorized Official Name and Position | Jeffery Kirkham (CFO) |
| Authorized Official Contact | 3173555822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pendleton Medical Group 1251 Huntzinger Blvd Suite 100 Pendleton IN 46064-9493 Ph: (765) 298-4567 | Pendleton Medical Group 1251 Huntzinger Blvd Suite 100 Pendleton IN 46064-9493 Ph: (765) 298-4567 |
| NPI Number | 1346261971 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 04/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346261971 | NPI | - | NPPES |
| DC6886 | Other | IN | RR MEDICARE |
| 200849300A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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