| Sycamore Primary Care | |
|
3109 W Sycamore St Kokomo IN 46901-4026 | |
| (765) 457-8381 | |
| (765) 457-4443 |
| Full Name | Sycamore Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 3109 W Sycamore St, Kokomo, Indiana |
| Authorized Official Name and Position | Andrew Kellar (REGIONAL PRACTICE MANAGER) |
| Authorized Official Contact | 7654578381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sycamore Primary Care 3109 W Sycamore St Kokomo IN 46901-4026 Ph: (765) 457-8381 | Sycamore Primary Care 3109 W Sycamore St Kokomo IN 46901-4026 Ph: (765) 457-8381 |
| NPI Number | 1104866136 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104866136 | NPI | - | NPPES |
| 000000183506 | Other | IN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Indiana) | Primary |
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Indiana Health Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-4160 | |
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