| Provident Family Healthcare | |
|
1210 Provident Dr Suite B Warsaw IN 46580-3266 | |
| (574) 372-5823 | |
| Not Available |
| Full Name | Provident Family Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 1210 Provident Dr, Warsaw, Indiana |
| Authorized Official Name and Position | Rebecca Hurley (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 2144733993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provident Family Healthcare Po Box 996 Warsaw IN 46581-0996 Ph: (574) 372-5823 | Provident Family Healthcare 1210 Provident Dr Suite B Warsaw IN 46580-3266 Ph: (574) 372-5823 |
| NPI Number | 1205948486 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205948486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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