Rossville Family Medicine | |
5450 W State Road 26 Suite 300 Rossville IN 46065-9542 | |
(765) 379-2222 | |
(765) 379-3222 |
Full Name | Rossville Family Medicine |
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Speciality | Family Medicine |
Location | 5450 W State Road 26, Rossville, Indiana |
Authorized Official Name and Position | Martha K Miller (DIRECTOR OF BILLING) |
Authorized Official Contact | 7654465286 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rossville Family Medicine Po Box 4699 Lafayette IN 47903-4699 Ph: (765) 449-2732 | Rossville Family Medicine 5450 W State Road 26 Suite 300 Rossville IN 46065-9542 Ph: (765) 379-2222 |
NPI Number | 1902071665 |
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Provider Enumeration Date | 04/24/2008 |
Last Update Date | 04/24/2008 |
Identifier | Type | State | Issuer |
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1902071665 | NPI | - | NPPES |
200476110C | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Indiana) | Primary |