Richland Family Practice | |
4088 N State Road 161 Richland IN 47634-9467 | |
(812) 359-4512 | |
(812) 359-6357 |
Full Name | Richland Family Practice |
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Speciality | Clinic/Center |
Location | 4088 N State Road 161, Richland, Indiana |
Authorized Official Name and Position | Meagan Neighbors (OWNER/OFFICE MANAGER) |
Authorized Official Contact | 8126600320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Richland Family Practice Po Box 198 Richland IN 47634-0198 Ph: (812) 359-4512 | Richland Family Practice 4088 N State Road 161 Richland IN 47634-9467 Ph: (812) 359-4512 |
NPI Number | 1396396842 |
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Provider Enumeration Date | 09/26/2019 |
Last Update Date | 10/21/2019 |
Medicare PECOS PAC ID | 6204268386 |
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Medicare Enrollment ID | O20191111001762 |
Identifier | Type | State | Issuer |
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1396396842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Robin M Strahl |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932693330 PECOS PAC ID: 2062763584 Enrollment ID: I20180924000402 |
Provider Name | Crystal Deno |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245906171 PECOS PAC ID: 4284023797 Enrollment ID: I20211122001818 |