| Redi-care Inc P C | |
|
2120 N Detroit St Lagrange IN 46761-1147 | |
| (260) 463-2468 | |
| (260) 463-4237 |
| Full Name | Redi-care Inc P C |
|---|---|
| Speciality | Clinic/Center |
| Location | 2120 N Detroit St, Lagrange, Indiana |
| Authorized Official Name and Position | Daryl L. Hershberger (OWNER) |
| Authorized Official Contact | 2604632468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redi-care Inc P C 2120 N Detroit St Lagrange IN 46761-1147 Ph: (260) 463-2468 | Redi-care Inc P C 2120 N Detroit St Lagrange IN 46761-1147 Ph: (260) 463-2468 |
| NPI Number | 1790896611 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/27/2022 |
| Medicare PECOS PAC ID | 6406765742 |
|---|---|
| Medicare Enrollment ID | O20030314000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790896611 | NPI | - | NPPES |
| 000000299462 | Other | IN | ANTHEM |
| 308606708 | Other | IN | TRICARE |
| 8757 | Other | IN | PHP |
| 4909200001 | Other | IN | DMERC |
| P00249946 | Other | IN | RAILROAD MEDICARE |
| 200108370A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 01037748A (Indiana) | Primary |
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