| Prairie Creek Clinic | |
|
Rr 1 Box 216 Montgomery IN 47558-9733 | |
| (812) 687-7263 | |
| (812) 687-7264 |
| Full Name | Prairie Creek Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | Rr 1 Box 216, Montgomery, Indiana |
| Authorized Official Name and Position | Joseph A Calderazzo (PHYSICIAN) |
| Authorized Official Contact | 8126877263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Creek Clinic Rr 1 Box 216 Montgomery IN 47558-9733 Ph: (812) 687-7263 | Prairie Creek Clinic Rr 1 Box 216 Montgomery IN 47558-9733 Ph: (812) 687-7263 |
| NPI Number | 1528231388 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528231388 | NPI | - | NPPES |
| 100320620A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01030345 (Indiana) | Primary |
Montgomery Medical Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 542 N 3rd St, Montgomery, IN 47558 Phone: 812-486-2842 | |
Montgomery Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 427 N 1st St, Montgomery, IN 47758 Phone: 812-486-2842 Fax: 812-486-2784 | |
Country Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5066 N 900 E, Montgomery, IN 47558 Phone: 812-486-3396 Fax: 812-486-3354 |