| Putnam Pediatrics And Internal Medicine | |
|
1542 S Bloomington St Suite 1300 Greencastle IN 46135-2212 | |
| (765) 658-2700 | |
| (765) 658-2703 |
| Full Name | Putnam Pediatrics And Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1542 S Bloomington St, Greencastle, Indiana |
| Authorized Official Name and Position | Andrea Lee Mescall (ACCOUNTANT) |
| Authorized Official Contact | 7656552576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Putnam Pediatrics And Internal Medicine 1542 S Bloomington St Suite 1300 Greencastle IN 46135-2212 Ph: (765) 658-2700 | Putnam Pediatrics And Internal Medicine 1542 S Bloomington St Suite 1300 Greencastle IN 46135-2212 Ph: (765) 658-2700 |
| NPI Number | 1699833129 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 06/25/2013 |
| Medicare PECOS PAC ID | 1951396605 |
|---|---|
| Medicare Enrollment ID | O20130513000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699833129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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