| Petersburg Medical Clinic | |
|
611 E Main St Petersburg IN 47567-1247 | |
| (812) 354-8426 | |
| (812) 354-9134 |
| Full Name | Petersburg Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 611 E Main St, Petersburg, Indiana |
| Authorized Official Name and Position | Anthony Showalter (BOARD MEMEBER) |
| Authorized Official Contact | 8122548620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petersburg Medical Clinic 611 E Main St Petersburg IN 47567-1247 Ph: (812) 354-8426 | Petersburg Medical Clinic 611 E Main St Petersburg IN 47567-1247 Ph: (812) 354-8426 |
| NPI Number | 1144388505 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 01/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144388505 | NPI | - | NPPES |
| 200042020A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 01028253A (Indiana) | Primary |
Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1814 E State Road 56 Fl 1, Petersburg, IN 47567 Phone: 812-494-9514 Fax: 812-494-9515 | |
Good Samaritan Hospital Physician Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 E Main St, Suite 110, Petersburg, IN 47567 Phone: 812-354-8426 Fax: 812-354-9134 | |
Petersburg Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1003 E Illinois St, Petersburg, IN 47567 Phone: 812-354-3458 Fax: 812-354-3459 | |
Deaconess Medical Group - Petersburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W Pike Ave, Petersburg, IN 47567 Phone: 812-354-1052 Fax: 812-354-8280 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 E State Road 56, Petersburg, IN 47567 Phone: 810-494-9515 Fax: 812-494-9514 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 E Main St Ste 110, Petersburg, IN 47567 Phone: 812-354-8785 Fax: 812-354-8786 |