| Reliant Healthcare Llc | |
|
124 N Jefferson St Hartford City IN 47348-2201 | |
| (765) 347-8279 | |
| Not Available |
| Full Name | Reliant Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 124 N Jefferson St, Hartford City, Indiana |
| Authorized Official Name and Position | Jennifer L Clamme (MEMBER) |
| Authorized Official Contact | 7653478279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliant Healthcare Llc 124 N Jefferson St Hartford City IN 47348-2201 Ph: (765) 347-8279 | Reliant Healthcare Llc 124 N Jefferson St Hartford City IN 47348-2201 Ph: (765) 347-8279 |
| NPI Number | 1861763690 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 12/08/2015 |
| Medicare PECOS PAC ID | 8022277094 |
|---|---|
| Medicare Enrollment ID | O20120312000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861763690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lindsey M Moorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043760523 PECOS PAC ID: 4587952031 Enrollment ID: I20161017000363 |
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