Rising Sun Modern Medicine | |
120 N Walnut St Suite A Rising Sun IN 47040-1276 | |
(812) 438-1216 | |
(812) 438-1252 |
Full Name | Rising Sun Modern Medicine |
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Speciality | Clinic/center - Primary Care |
Location | 120 N Walnut St, Rising Sun, Indiana |
Authorized Official Name and Position | Katrina R Lock (NURSE PRACTITIONER, MANAGER) |
Authorized Official Contact | 8122210332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rising Sun Modern Medicine Po Box 26 Rising Sun IN 47040-0026 Ph: (812) 438-1216 | Rising Sun Modern Medicine 120 N Walnut St Suite A Rising Sun IN 47040-1276 Ph: (812) 438-1216 |
NPI Number | 1356883243 |
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Provider Enumeration Date | 11/09/2016 |
Last Update Date | 11/09/2016 |
Identifier | Type | State | Issuer |
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1356883243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 71004143A (Indiana) | Primary |
Rising Sun Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 6th St, Rising Sun, IN 47040 Phone: 812-438-2555 Fax: 812-438-1236 |