| Rainmaker Production Services, Llc | |
|
1910 W Royale Dr Muncie IN 47304-2264 | |
| (765) 289-1011 | |
| (765) 289-3024 |
| Full Name | Rainmaker Production Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1910 W Royale Dr, Muncie, Indiana |
| Authorized Official Name and Position | Elpidio M. Feliciano (OWNER) |
| Authorized Official Contact | 7652891011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainmaker Production Services, Llc 1910 W Royale Dr Muncie IN 47304-2264 Ph: (765) 289-1011 | Rainmaker Production Services, Llc 1910 W Royale Dr Muncie IN 47304-2264 Ph: (765) 289-1011 |
| NPI Number | 1306104435 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 06/11/2012 |
| Medicare PECOS PAC ID | 2466616024 |
|---|---|
| Medicare Enrollment ID | O20120611000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306104435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01056999A (Indiana) | Primary |
| Provider Name | Elpidio M Feliciano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659358745 PECOS PAC ID: 0244286292 Enrollment ID: I20050323000835 |
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