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8685 Old Highway 41 South Carlisle IN 47838 | |
(812) 268-4311 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 8685 Old Highway 41 South, Carlisle, Indiana |
Authorized Official Name and Position | Jennifer Ridgway (REVENUE CYCLE DIRECTOR) |
Authorized Official Contact | 8122684311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 10 Sullivan IN 47882-0010 Ph: (812) 268-4311 | 8685 Old Highway 41 South Carlisle IN 47838 Ph: (812) 268-4311 |
NPI Number | 1720524945 |
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Provider Enumeration Date | 01/11/2017 |
Last Update Date | 10/14/2022 |
Identifier | Type | State | Issuer |
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1720524945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |